Medicaid Provider Spending

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

COMMONWEALTH PHYSICIAN NETWORK LLC

NPI: 1003238635 · KINGSTON, PA 18704 · Family Medicine Physician · NPI assigned 01/16/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MUSIC, KRISTINA controls 20+ related entities in our dataset. Read more

$534K
Total Medicaid Paid
62,192
Total Claims
58,110
Beneficiaries
57
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMUSIC, KRISTINA (DIRECTOR PROVIDER ENROLLMENT)
NPI Enumeration Date01/16/2014

Related Entities

Other providers sharing the same authorized official: MUSIC, KRISTINA

ProviderCityStateTotal Paid
LUTHERAN MEDICAL GROUP LLC FORT WAYNE IN $21.97M
LA PORTE CLINIC COMPANY LLC VALPARAISO IN $18.77M
VICKSBURG CLINIC LLC VICKSBURG MS $15.98M
NORTHWEST ALLIED PHYSICIANS LLC TUCSON AZ $10.30M
KOSCIUSKO MEDICAL GROUP LLC WARSAW IN $8.81M
KNOXVILLE HMA PHYSICIAN MANAGEMENT, LLC KNOXVILLE TN $8.70M
WESLEY PHYSICIAN SERVICES LLC HATTIESBURG MS $8.20M
PORTER PHYSICIAN SERVICES LLC VALPARAISO IN $6.44M
HOOD MEDICAL GROUP GRANBURY TX $6.40M
NORTHWEST PHYSICIANS LLC SPRINGDALE AR $5.81M
QHG OF FORT WAYNE COMPANY LLC FORT WAYNE IN $4.24M
VICKSBURG CLINIC LLC VICKSBURG MS $4.10M
DUKES PHYSICIAN SERVICES LLC PERU IN $3.72M
BLUFFTON PHYSICIAN SERVICES LLC BLUFFTON IN $3.45M
BULLHEAD CITY CLINIC CORP BULLHEAD CITY AZ $3.13M
NORTHWEST URGENT CARE LLC TUCSON AZ $2.64M
RIVER OAKS MANAGEMENT COMPANY LLC JACKSON MS $2.56M
SCRANTON QUINCY CLINIC COMPANY LLC SCRANTON PA $2.03M
FOLEY CLINIC CORP GULF SHORES AL $2.01M
MAT SU VALLEY MEDICAL CENTER LLC WASILLA AK $1.95M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,695 $13K
2019 1,611 $11K
2020 1,051 $27K
2021 8,888 $70K
2022 11,450 $77K
2023 12,249 $102K
2024 25,248 $236K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,575 7,099 $204K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,804 3,663 $152K
45380 Colonoscopy, flexible; with biopsy, single or multiple 210 201 $35K
20610 1,137 1,031 $20K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 277 271 $18K
99308 Subsequent nursing facility care, per day, straightforward 1,521 1,493 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 310 306 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 538 502 $10K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 255 248 $8K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 80 79 $8K
99243 64 64 $5K
99460 133 128 $5K
95886 62 58 $5K
77067 Screening mammography, bilateral, including computer-aided detection 119 119 $4K
99309 Subsequent nursing facility care, per day, low to moderate complexity 108 105 $3K
99223 Prolong inpt eval add15 m 24 24 $3K
77063 Screening digital breast tomosynthesis, bilateral 119 119 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 473 439 $3K
99307 375 374 $2K
90682 66 51 $2K
J1030 Injection, methylprednisolone acetate, 40 mg 337 319 $2K
99238 Hospital discharge day management, 30 minutes or less 102 96 $2K
99244 Office or other outpatient consultation, moderate to high complexity 12 12 $1K
3074F 5,710 5,371 $1K
3078F 4,498 4,226 $1K
93000 95 93 $1K
S9470 Nutritional counseling, dietitian visit 66 66 $1K
54150 13 12 $999.35
73560 44 42 $904.89
95251 25 25 $679.00
20526 13 12 $502.58
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 44 44 $454.00
93971 20 17 $397.23
93970 12 12 $357.07
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 14 $297.00
3079F 715 685 $285.00
71046 Radiologic examination, chest; 2 views 39 39 $271.63
51798 13 13 $152.69
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 599 548 $143.82
3075F 132 127 $95.00
J1040 Injection, methylprednisolone acetate, 80 mg 1,047 948 $31.32
3725F 179 159 $30.00
81000 12 12 $21.05
1159F 2,423 2,218 $0.00
1160F 2,926 2,677 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 104 100 $0.00
3288F 12 12 $0.00
1036F 10,244 9,401 $0.00
3008F 10,270 9,621 $0.00
1125F 3,299 3,039 $0.00
1034F 1,247 1,143 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 310 303 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 183 155 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 109 104 $0.00
1126F 44 43 $0.00
99024 17 15 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 13 13 $0.00