Medicaid Provider Spending

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

GARDNER, PHILLIP

NPI: 1003843897 · MISSOULA, MT 59801 · Otolaryngology Physician · NPI assigned 06/27/2006

$179K
Total Medicaid Paid
2,622
Total Claims
2,394
Beneficiaries
12
Codes Billed
2018-01
First Month
2022-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 432 $39K
2019 1,193 $44K
2020 464 $38K
2021 379 $39K
2022 154 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,205 1,114 $126K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 608 565 $48K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 27 26 $5K
G9969 Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred 324 294 $0.00
G8430 Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) 40 36 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 16 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 98 84 $0.00
G8785 Blood pressure reading not documented, reason not given 17 12 $0.00
G8482 Influenza immunization administered or previously received 127 113 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 50 42 $0.00
G8484 Influenza immunization was not administered, reason not given 93 84 $0.00
4040F 17 12 $0.00