Medicaid Provider Spending

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

LOPES, NELSY

NPI: 1003249178 · NEWPORT, RI 02840 · Physician Assistant · NPI assigned 08/13/2013

$186K
Total Medicaid Paid
4,567
Total Claims
4,166
Beneficiaries
10
Codes Billed
2020-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 808 $38K
2021 849 $29K
2022 1,051 $40K
2023 1,007 $42K
2024 852 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,840 2,586 $111K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 842 804 $44K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 102 54 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 334 304 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 195 185 $1K
T1017 Targeted case management, each 15 minutes 48 31 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 156 152 $1K
99443 14 14 $504.00
83036 Hemoglobin; glycosylated (A1C) 12 12 $58.51
82962 24 24 $33.06