Medicaid Provider Spending

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

BARRY PRYSTOWSKY, MD LLC

NPI: 1003058868 · NUTLEY, NJ 07110 · Pediatrics Physician · NPI assigned 03/25/2009

$13K
Total Medicaid Paid
368
Total Claims
331
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-06
Last Month

Provider Details

Authorized OfficialPRYSTOWSKY, BARRY (OWNER)
NPI Enumeration Date03/25/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 368 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 293 256 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 40 40 $529.42
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 35 35 $269.88