Medicaid Provider Spending

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

LAMELA, ETHEL

NPI: 1023021573 · ISABELA, PR 00662 · Pediatrics Physician · NPI assigned 08/15/2006

$34K
Total Medicaid Paid
21,167
Total Claims
18,617
Beneficiaries
20
Codes Billed
2018-04
First Month
2024-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 131 $2K
2019 234 $5K
2021 7,540 $8K
2022 6,103 $7K
2023 6,844 $5K
2024 315 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,049 2,692 $16K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,682 3,038 $14K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 104 93 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,070 819 $955.07
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 1,157 1,053 $823.56
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 176 173 $47.38
92551 1,562 1,470 $12.00
99173 967 903 $2.51
3008F 6,181 5,315 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 620 585 $0.00
1126F 571 545 $0.00
99384 66 62 $0.00
99383 45 44 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 464 451 $0.00
1160F 475 450 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 25 24 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 454 426 $0.00
1159F 475 450 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 12 12 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $0.00