Medicaid Provider Spending

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

AMBUCARE CLINIC

NPI: 1013907922 · TERRE HAUTE, IN 47802 · Family Medicine Physician · NPI assigned 10/24/2005

$2.82M
Total Medicaid Paid
98,886
Total Claims
83,915
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSAPPINGTON, STEPHEN (OWNER)
NPI Enumeration Date10/24/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25,310 $150K
2019 22,095 $335K
2020 15,688 $306K
2021 13,172 $612K
2022 10,014 $645K
2023 7,896 $486K
2024 4,711 $286K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,236 18,151 $1.15M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,169 8,654 $738K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7,903 7,005 $547K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,281 3,043 $160K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,735 2,571 $86K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 601 564 $51K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,901 1,661 $24K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,049 1,665 $18K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,058 457 $14K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 437 400 $13K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 289 270 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 152 140 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 33 33 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 297 261 $1K
71046 Radiologic examination, chest; 2 views 40 39 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $583.99
81003 356 286 $483.70
J1885 Injection, ketorolac tromethamine, per 15 mg 352 309 $368.81
J1100 Injection, dexamethasone sodium phosphate, 1 mg 221 203 $61.64
J0696 Injection, ceftriaxone sodium, per 250 mg 51 49 $38.08
1036F 6,994 5,829 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 2,132 1,780 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 255 211 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 109 104 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 18 17 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 8,306 6,994 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 12,231 10,197 $0.00
4004F 4,545 3,772 $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) 15 12 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 7,666 6,336 $0.00
G8482 Influenza immunization administered or previously received 3,042 2,568 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 243 197 $0.00
81002 102 83 $0.00
4040F 40 27 $0.00
90756 15 15 $0.00