Medicaid Provider Spending

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

1013083401

NPI: 1013083401

Deactivated NPI · This NPI was deactivated on 07/21/2020.
$102K
Total Medicaid Paid
6,746
Total Claims
6,309
Beneficiaries
49
Codes Billed
2018-01
First Month
2020-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,867 $44K
2019 4,479 $54K
2020 400 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,219 1,089 $58K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 595 563 $27K
99408 121 119 $3K
99401 103 101 $2K
99497 43 43 $2K
99385 26 26 $2K
99386 16 16 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 14 $1K
97802 46 43 $1K
94060 17 17 $998.37
93000 141 141 $919.79
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 40 39 $430.72
96160 129 128 $344.28
96127 91 90 $335.90
99487 Ccm add 20min 12 12 $297.45
99490 Ccm add 20min 56 56 $239.06
96161 141 139 $232.16
G0442 Annual alcohol misuse screening, 5 to 15 minutes 28 28 $212.43
36415 Collection of venous blood by venipuncture 500 486 $167.62
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 24 21 $153.30
99406 15 12 $89.28
G9905 Patient not screened for tobacco use 29 28 $47.50
94760 61 59 $34.34
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 89 86 $10.50
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 13 12 $7.00
1170F 132 129 $0.01
1126F 74 73 $0.01
1125F 41 41 $0.01
0521F 51 51 $0.01
3079F 47 46 $0.00
3044F 211 192 $0.00
3008F 365 330 $0.00
99000 249 243 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 67 63 $0.00
3074F 144 126 $0.00
2000F 118 115 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 36 34 $0.00
G8732 No documentation of pain assessment, reason not given 23 22 $0.00
1157F 18 18 $0.00
1101F 60 60 $0.00
1159F 519 459 $0.00
3078F 148 136 $0.00
1160F 485 422 $0.00
1494F 166 164 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 35 33 $0.00
3725F 129 127 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 32 31 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 12 12 $0.00
3077F 15 14 $0.00