Medicaid Provider Spending

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

BRENTWOOD PEDIATRICS PC

NPI: 1013188648 · LIVONIA, MI 48152 · Pediatrics Physician · NPI assigned 03/24/2008

$3.70M
Total Medicaid Paid
111,617
Total Claims
106,105
Beneficiaries
82
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGODBOLE, AJEY (PRESIDENT)
NPI Enumeration Date03/24/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,825 $490K
2019 18,569 $529K
2020 14,508 $406K
2021 16,517 $549K
2022 16,811 $622K
2023 16,026 $621K
2024 11,361 $485K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,252 15,642 $1.25M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,510 8,396 $931K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,037 3,034 $245K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,288 3,192 $239K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,889 2,888 $235K
90460 Immunization administration through 18 years of age via any route, first or only component 9,949 9,776 $182K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,400 1,400 $125K
92587 5,181 5,156 $61K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,565 4,558 $44K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,006 2,909 $41K
71046 Radiologic examination, chest; 2 views 1,733 1,672 $34K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,767 4,711 $32K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 962 932 $31K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,872 1,152 $30K
99215 Prolong outpt/office vis 167 159 $24K
87631 201 197 $21K
D0190 1,321 1,320 $21K
83655 1,474 1,471 $16K
92550 1,076 994 $14K
99441 383 357 $13K
99188 1,329 1,327 $11K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 756 751 $10K
80061 Lipid panel 1,007 998 $8K
36415 Collection of venous blood by venipuncture 2,796 2,694 $7K
36416 2,991 2,950 $7K
87807 655 631 $6K
0001A 169 169 $6K
0002A 152 152 $6K
99177 4,463 4,453 $6K
93000 543 543 $5K
0071A 127 127 $5K
90671 250 250 $5K
0072A 121 120 $5K
82947 1,074 1,065 $4K
97802 3,938 3,934 $4K
83721 736 734 $2K
74240 32 31 $2K
96111 20 20 $1K
99383 13 13 $1K
81003 569 543 $1K
0003A 27 27 $1K
90847 Family psychotherapy with the patient present, 50 minutes 14 12 $926.10
74241 12 12 $819.64
99051 120 114 $350.00
90686 1,222 1,219 $278.58
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 35 32 $261.64
90651 508 508 $229.34
90716 350 349 $136.26
90734 138 138 $128.85
90685 151 149 $109.05
90672 913 913 $107.52
90707 393 393 $84.87
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $82.60
90660 54 54 $23.46
3050F 633 630 $0.67
3049F 12 12 $0.04
90461 3,223 3,203 $0.00
90670 970 967 $0.00
G9920 Screening performed and negative 108 105 $0.00
90621 29 29 $0.00
4124F 1,316 1,262 $0.00
90633 375 375 $0.00
90715 26 26 $0.00
90713 250 249 $0.00
90700 332 330 $0.00
91300 235 221 $0.00
90661 94 94 $0.00
90710 16 16 $0.00
G9919 Screening performed and positive and provision of recommendations 36 36 $0.00
90655 12 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,037 1,037 $0.00
90698 76 76 $0.00
90680 613 611 $0.00
90619 131 131 $0.00
90696 127 124 $0.00
90674 355 355 $0.00
90697 183 183 $0.00
90744 260 258 $0.00
91307 219 185 $0.00
90688 153 153 $0.00
90647 60 60 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 13 12 $0.00