Medicaid Provider Spending

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

CITYBLOCK MEDICAL PRACTICE, LLC

NPI: 1013673821 · COLUMBUS, OH 43213 · Primary Care Clinic/Center · NPI assigned 11/16/2021

$51K
Total Medicaid Paid
2,423
Total Claims
2,187
Beneficiaries
18
Codes Billed
2023-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBROWN, SUSAN (CHIEF ADMINISTRATIVE OFFICER)
NPI Enumeration Date11/16/2021

Related Entities

Other providers sharing the same authorized official: BROWN, SUSAN

ProviderCityStateTotal Paid
STATE OF HAWAII, DEPARTMENT OF HEALTH, EARLY INTERVENTION SECTION HONOLULU HI $142K
SUE BROWN, LLC BALTIMORE MD $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 540 $15K
2024 1,883 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 480 435 $22K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 367 353 $20K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 281 266 $7K
90792 Psychiatric diagnostic evaluation with medical services 23 13 $2K
99442 13 12 $504.46
96127 245 184 $316.40
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 26 26 $235.70
90832 Psychotherapy, 30 minutes with patient 16 14 $96.78
1160F 408 324 $0.00
1159F 134 131 $0.00
1158F 45 45 $0.00
3078F 79 79 $0.00
1126F 26 25 $0.00
3074F 95 95 $0.00
1111F 30 30 $0.00
99344 44 44 $0.00
1170F 45 45 $0.00
1125F 66 66 $0.00