Medicaid Provider Spending

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

BLUE NILE MEDICAL PLLC

NPI: 1003322108 · BROOKLYN, NY 11236 · Legal Medicine · NPI assigned 12/27/2017

$28K
Total Medicaid Paid
1,960
Total Claims
1,873
Beneficiaries
4
Codes Billed
2018-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGEBREZGI, SEBHATU (OWNER)
NPI Enumeration Date12/27/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 52 $296.18
2020 62 $2K
2021 226 $3K
2022 656 $13K
2023 665 $8K
2024 299 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 914 888 $18K
99401 860 802 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 98 96 $4K
36415 Collection of venous blood by venipuncture 88 87 $48.99