Medicaid Provider Spending

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

SANDAL, INC

NPI: 1003017492 · PARKERSBURG, WV 26104 · Preferred Provider Organization · NPI assigned 05/31/2007

$140K
Total Medicaid Paid
3,130
Total Claims
2,938
Beneficiaries
24
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialFIGUEROA, ALLAN (PHYSICIAN)
NPI Enumeration Date05/31/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,130 $140K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,467 1,357 $74K
99406 402 388 $19K
99401 290 284 $15K
99215 Prolong outpt/office vis 102 94 $7K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 226 206 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 70 70 $5K
3079F 53 44 $2K
4004F 63 59 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26 25 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 18 18 $1K
G9902 Patient screened for tobacco use and identified as a tobacco user 35 34 $999.98
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 35 34 $999.98
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 52 46 $872.95
3074F 20 20 $840.07
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 27 25 $782.51
G8783 Normal blood pressure reading documented, follow-up not required 47 45 $702.23
1036F 49 46 $695.40
3078F 16 16 $523.68
G8510 Screening for depression is documented as negative, a follow-up plan is not required 25 24 $430.69
G8420 Bmi is documented within normal parameters and no follow-up plan is required 30 28 $382.97
G8754 Most recent diastolic blood pressure < 90 mmhg 22 21 $362.76
3017F 22 21 $275.81
G9903 Patient screened for tobacco use and identified as a tobacco non-user 15 15 $235.23
G8752 Most recent systolic blood pressure < 140 mmhg 18 18 $206.72