Medicaid Provider Spending

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

EPILEPSY & NEUROPHYSIOLOGY MEDICAL CONSULTANTS PA

NPI: 1013998830 · HACKENSACK, NJ 07601 · Clinical Social Worker · NPI assigned 11/09/2005

$9.94M
Total Medicaid Paid
57,805
Total Claims
35,543
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLANCMAN, MARCELO (OWNER)
NPI Enumeration Date11/09/2005

Related Entities

Other providers sharing the same authorized official: LANCMAN, MARCELO

ProviderCityStateTotal Paid
EPILEPSY & NEUROPHYSIOLOGY MEDICAL CONSULTING PC WHITE PLAINS NY $391K
EPILEPSY AND NEUROPHYSIOLOGY OF VIRGINIA PC ARLINGTON VA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,989 $1.10M
2019 6,560 $899K
2020 3,510 $504K
2021 8,882 $1.47M
2022 10,436 $1.64M
2023 11,683 $2.37M
2024 8,745 $1.96M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
95720 21,731 8,543 $3.57M
95715 2,263 751 $2.10M
95951 5,507 1,970 $1.33M
95816 3,896 3,759 $1.21M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,095 5,852 $461K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,529 3,461 $376K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,225 4,920 $230K
99232 Subsequent hospital care, per day, moderate complexity 3,988 1,713 $189K
95700 673 626 $170K
99222 Initial hospital care, per day, moderate complexity 884 813 $75K
95812 921 904 $53K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,369 642 $33K
99205 Prolong outpt/office vis 151 150 $30K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 190 180 $28K
95718 294 235 $25K
96118 54 32 $17K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 592 569 $13K
95819 46 46 $12K
99441 188 182 $6K
99215 Prolong outpt/office vis 52 52 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 33 27 $3K
99223 Prolong inpt eval add15 m 13 12 $2K
96137 12 12 $1K
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) 87 80 $382.68
96136 12 12 $231.44