Medicaid Provider Spending

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

PEDIATRICS PLUS PC

NPI: 1013287218 · NORTH HAVEN, CT 06473 · Pediatric Nurse Practitioner · NPI assigned 01/04/2012

$2.24M
Total Medicaid Paid
49,675
Total Claims
42,375
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTONE, ELSA (PRESIDENT)
NPI Enumeration Date01/04/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,896 $400K
2019 7,731 $397K
2020 6,907 $248K
2021 6,578 $293K
2022 8,165 $340K
2023 6,343 $302K
2024 6,055 $258K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 9,362 7,694 $902K
99213 11,510 9,551 $746K
90460 6,021 5,534 $213K
99393 885 804 $94K
99392 776 715 $85K
87635 836 694 $32K
96127 930 832 $24K
99394 200 180 $23K
99391 214 193 $23K
96160 1,171 958 $19K
87880 2,082 1,777 $18K
92551 3,341 2,967 $17K
87804 1,767 856 $15K
99051 1,014 863 $7K
99173 1,061 946 $6K
90471 245 240 $5K
36416 1,463 1,350 $4K
99212 28 27 $1K
90686 2,645 2,516 $1K
87651 27 25 $663.52
99188 26 26 $570.32
87807 64 54 $536.12
99177 25 25 $450.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 13 13 $270.92
85018 326 282 $0.00
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 27 27 $0.00
G9920 Screening performed and negative 111 101 $0.00
90461 963 794 $0.00
99072 1,786 1,641 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 591 530 $0.00
90648 66 64 $0.00
90670 53 51 $0.00
90685 46 45 $0.00