Medicaid Provider Spending

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

BOMRAY MEDICAL CLINIC

NPI: 1013974864 · CHARLOTTE, NC 28216 · Clinic/Center · NPI assigned 04/26/2006

$1.57M
Total Medicaid Paid
139,024
Total Claims
98,301
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialOLSZEWSKI, JERRI (BILLING REPRESENTATIVE)
NPI Enumeration Date04/26/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,671 $170K
2019 11,501 $197K
2020 7,249 $141K
2021 16,191 $208K
2022 23,175 $247K
2023 26,623 $251K
2024 41,614 $353K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,811 9,709 $653K
99199 Unlisted special service, procedure or report 81,194 48,969 $512K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,236 2,701 $123K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3,180 2,720 $67K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6,352 5,334 $36K
93000 3,056 2,536 $25K
84443 Thyroid stimulating hormone (TSH) 2,000 1,729 $25K
80061 Lipid panel 2,299 2,061 $21K
83036 Hemoglobin; glycosylated (A1C) 2,766 2,442 $19K
80048 Basic metabolic panel (calcium, ionized) 2,606 2,447 $15K
80076 2,534 2,301 $14K
81002 6,839 5,764 $12K
36415 Collection of venous blood by venipuncture 5,197 4,655 $8K
94060 288 252 $7K
90756 668 448 $5K
82962 2,670 2,319 $4K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 46 44 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 410 270 $3K
0124A 63 45 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 24 14 $2K
99490 Ccm add 20min 132 128 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 90 65 $1K
85027 305 287 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 16 13 $1K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 28 18 $1K
90686 120 73 $968.35
91320 40 28 $947.60
77080 37 31 $584.94
99401 61 47 $519.39
90480 41 29 $511.78
94010 45 43 $503.53
71046 Radiologic examination, chest; 2 views 38 35 $448.25
96127 99 93 $265.96
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 19 13 $206.49
88164 18 13 $156.36
82043 44 40 $150.74
0003A 16 13 $130.00
81025 15 12 $78.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 14 12 $70.65
3044F 370 333 $0.18
G0008 Administration of influenza virus vaccine 185 177 $0.00
1111F 12 12 $0.00
91312 18 12 $0.00
91300 22 14 $0.00