Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

INTERNAL MEDICINE OF WEST HAVEN LLC

NPI: 1003005703 · WEST HAVEN, CT 06516 · Behavioral Neurology & Neuropsychiatry Physician · NPI assigned 10/18/2007

$447K
Total Medicaid Paid
30,740
Total Claims
21,836
Beneficiaries
56
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFLORES, MARIZELLE (CREDENTIALING MANAGER)
NPI Enumeration Date10/18/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,774 $35K
2019 5,376 $87K
2020 2,722 $70K
2021 2,346 $66K
2022 3,699 $62K
2023 5,692 $49K
2024 5,131 $77K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,761 6,699 $255K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,141 4,413 $130K
93000 2,439 1,916 $15K
99490 Ccm add 20min 1,700 1,278 $15K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 89 83 $8K
99487 Ccm add 20min 202 137 $4K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,153 530 $3K
90686 172 138 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 901 679 $2K
99439 178 130 $1K
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 123 97 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 28 12 $845.74
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 23 16 $821.50
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 454 330 $666.13
76700 Ultrasound, abdominal, real time with image documentation; complete 55 39 $628.33
93923 13 12 $604.10
99489 Ccm add 20min 63 42 $599.65
96127 79 59 $578.16
90756 62 36 $569.75
93976 22 14 $490.57
90674 36 25 $451.92
99442 25 12 $372.21
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 954 722 $354.22
95923 15 12 $352.50
99397 53 52 $279.74
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 55 45 $245.88
90662 300 232 $224.04
94010 47 40 $215.90
90653 120 113 $109.34
99497 106 93 $92.93
87428 23 13 $92.82
99406 23 16 $45.36
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 14 12 $23.32
G0008 Administration of influenza virus vaccine 577 483 $0.01
1158F 89 61 $0.00
1160F 1,885 1,214 $0.00
G0444 Annual depression screening, 5 to 15 minutes 276 168 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 317 268 $0.00
3720F 157 111 $0.00
3288F 27 24 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 67 65 $0.00
3725F 34 20 $0.00
90630 29 20 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 24 15 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 303 195 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 401 308 $0.00
G0009 Administration of pneumococcal vaccine 45 42 $0.00
3008F 411 296 $0.00
1170F 356 235 $0.00
90694 51 48 $0.00
1125F 15 13 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 25 16 $0.00
1126F 35 27 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 102 80 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 73 68 $0.00