Medicaid Provider Spending

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

UPSTATE LUNG AND CRITICAL CARE SPECIALISTS PC

NPI: 1013963982 · SPARTANBURG, SC 29303 · Pulmonary Disease Physician · NPI assigned 05/25/2006

$669K
Total Medicaid Paid
21,084
Total Claims
19,081
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMAYBERRY, LASHANDA (CREDENTIAL COORDINATOR)
NPI Enumeration Date05/25/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,834 $94K
2019 3,152 $88K
2020 2,493 $82K
2021 2,868 $98K
2022 3,018 $111K
2023 2,848 $104K
2024 2,871 $91K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,686 15,172 $579K
99215 Prolong outpt/office vis 430 376 $20K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 825 683 $18K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 250 237 $17K
94010 1,441 1,376 $16K
99232 Subsequent hospital care, per day, moderate complexity 238 99 $6K
99406 556 521 $3K
95810 Polysomnography; sleep staging with 4 or more additional parameters 37 36 $2K
94726 124 115 $2K
94729 122 112 $2K
94060 122 113 $2K
31645 27 27 $1K
90674 48 48 $456.09
90686 69 67 $443.73
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 42 37 $298.35
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 67 62 $114.09