Medicaid Provider Spending

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

CHILDREN'S RESPIRATORY & CRITICAL CARE SPECIALISTS. P.A.

NPI: 1003816505 · MINNEAPOLIS, MN 55404 · Pediatrics Physician · NPI assigned 07/26/2005

$7.53M
Total Medicaid Paid
115,138
Total Claims
61,533
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFOLEY, MICHAEL (ADMINISTRATOR)
NPI Enumeration Date07/26/2005

Related Entities

Other providers sharing the same authorized official: FOLEY, MICHAEL

ProviderCityStateTotal Paid
MADISON EMERGENCY PHYSICIANS, SC MADISON WI $3.26M
WINNING SMILES PEDIATRIC DENTISTRY AMHERST NY $1.48M
THE HEALING CENTER EDGEWOOD MD $50K
MICHAEL G FOLEY MD PA CRESTVIEW FL $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,236 $763K
2019 16,993 $1.19M
2020 15,068 $1.11M
2021 17,552 $1.27M
2022 16,976 $1.13M
2023 15,112 $1.00M
2024 15,201 $1.06M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 61,404 13,678 $4.08M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21,908 20,873 $1.45M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 4,693 1,432 $666K
99215 Prolong outpt/office vis 4,520 4,297 $441K
94060 8,989 8,687 $220K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 788 175 $194K
99254 1,315 1,294 $140K
99471 131 128 $73K
94664 6,474 6,318 $59K
94010 2,365 2,321 $41K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 370 343 $36K
99205 Prolong outpt/office vis 242 233 $32K
99244 Office or other outpatient consultation, moderate to high complexity 374 359 $31K
99292 226 91 $28K
99253 247 241 $18K
99239 Hospital discharge day management, more than 30 minutes 69 66 $5K
99222 Initial hospital care, per day, moderate complexity 41 40 $4K
T1013 Sign language or oral interpretive services, per 15 minutes 86 86 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 251 248 $3K
95012 336 334 $2K
99443 26 13 $1K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 27 26 $559.95
90686 198 194 $87.54
90658 58 56 $34.50