Medicaid Provider Spending

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

AFFINITY HEALTH GROUP, LLC

NPI: 1023291226 · MONROE, LA 71201 · Speech-Language Pathologist · NPI assigned 12/11/2007

$34.73M
Total Medicaid Paid
1,628,609
Total Claims
1,318,535
Beneficiaries
223
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialBREARD, MIKE (VICE PRESIDENT)
NPI Enumeration Date12/11/2007

Related Entities

Other providers sharing the same authorized official: BREARD, MIKE

ProviderCityStateTotal Paid
AFFINITY HEALTH GROUP, LLC MONROE LA $198K
AFFINITY HEALTH GROUP, LLC MONROE LA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 240,670 $4.49M
2019 225,275 $5.24M
2020 206,137 $4.79M
2021 226,745 $5.57M
2022 276,204 $5.85M
2023 299,850 $5.56M
2024 153,728 $3.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 143,250 120,032 $10.87M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 169,431 148,054 $9.91M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14,563 12,839 $1.73M
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 20,447 17,604 $1.30M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 17,307 16,522 $1.21M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 17,817 16,308 $1.11M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 30,373 26,116 $1.01M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 10,450 9,559 $905K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 41,645 38,371 $587K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7,170 6,816 $484K
80050 General health panel 18,431 17,210 $469K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 16,140 14,278 $438K
90472 Immunization administration, each additional vaccine (list separately) 24,277 22,495 $426K
99051 26,069 23,225 $378K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 16,511 15,069 $345K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 6,441 5,417 $337K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 4,936 4,311 $283K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 44,903 40,199 $263K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5,010 4,521 $218K
80061 Lipid panel 25,195 23,121 $207K
87634 4,037 3,456 $203K
90837 Psychotherapy, 53 minutes with patient 3,970 1,870 $189K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2,625 557 $87K
99238 Hospital discharge day management, 30 minutes or less 1,448 1,385 $77K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,063 989 $77K
99460 1,515 1,418 $71K
80053 Comprehensive metabolic panel 10,768 9,617 $69K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,540 1,435 $62K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 40,624 25,555 $61K
20611 1,205 969 $56K
83036 Hemoglobin; glycosylated (A1C) 9,262 8,223 $56K
96110 Developmental screening, with scoring and documentation, per standardized instrument 7,937 7,168 $52K
90474 5,773 5,335 $50K
99215 Prolong outpt/office vis 601 481 $48K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,569 3,142 $44K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,904 1,294 $42K
90834 Psychotherapy, 45 minutes with patient 1,257 657 $41K
93000 4,848 4,278 $40K
20610 1,548 1,215 $39K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,183 333 $37K
92928 269 202 $36K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,409 1,580 $35K
81001 15,419 13,534 $32K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 177 165 $29K
99223 Prolong inpt eval add15 m 616 482 $28K
83655 2,479 2,361 $28K
31231 363 281 $27K
73564 1,571 958 $27K
90792 Psychiatric diagnostic evaluation with medical services 497 342 $27K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 4,695 4,075 $25K
92551 3,037 2,820 $23K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,004 1,891 $22K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 737 598 $20K
92557 924 874 $20K
92567 2,455 2,261 $19K
99381 271 229 $18K
99205 Prolong outpt/office vis 129 99 $17K
93016 1,464 1,362 $16K
81003 10,875 8,699 $15K
90686 16,378 15,042 $15K
97530 Therapeutic activities, direct patient contact, each 15 minutes 302 88 $14K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 451 420 $13K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 449 417 $13K
3074F 159,385 128,837 $13K
99233 Prolong inpt eval add15 m 514 244 $13K
82728 1,166 1,102 $12K
81025 2,535 2,165 $12K
93018 1,460 1,361 $11K
J0696 Injection, ceftriaxone sodium, per 250 mg 5,698 4,820 $10K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 231 207 $10K
3078F 138,054 112,886 $10K
99232 Subsequent hospital care, per day, moderate complexity 491 219 $9K
90791 Psychiatric diagnostic evaluation 119 100 $8K
99173 4,190 3,961 $8K
71046 Radiologic examination, chest; 2 views 515 475 $8K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 293 267 $7K
0012A 335 323 $7K
99385 122 107 $7K
3079F 65,803 51,321 $7K
0001A 185 163 $7K
69210 404 219 $7K
0011A 321 307 $7K
90832 Psychotherapy, 30 minutes with patient 387 232 $6K
0002A 163 138 $6K
11721 862 689 $6K
84439 822 766 $6K
87807 466 421 $5K
82962 3,878 2,931 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 542 474 $5K
0071A 118 101 $5K
86308 1,170 1,046 $5K
99383 57 51 $4K
72100 256 246 $4K
3044F 2,148 1,700 $4K
82607 365 337 $4K
83540 944 887 $4K
83880 120 114 $4K
3075F 32,147 25,369 $4K
99386 49 39 $4K
99222 Initial hospital care, per day, moderate complexity 166 129 $4K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 8,668 5,344 $4K
93922 130 121 $3K
0072A 64 61 $3K
83550 417 403 $3K
82570 1,026 848 $3K
93244 176 173 $3K
96127 11,350 9,138 $3K
90785 1,099 480 $3K
93272 141 140 $2K
84443 Thyroid stimulating hormone (TSH) 640 534 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 5,780 5,062 $2K
82043 508 483 $2K
3077F 17,814 13,609 $2K
74018 151 131 $2K
82746 186 172 $2K
86580 444 375 $2K
90688 135 122 $2K
31575 27 25 $2K
73110 100 70 $2K
11720 309 258 $2K
93458 13 12 $2K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 87 78 $1K
83735 303 283 $1K
93227 83 81 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 325 315 $1K
93454 12 12 $1K
73562 85 78 $1K
92587 42 41 $1K
86140 306 234 $1K
0081A 29 25 $1K
84153 80 79 $889.38
99152 845 735 $877.45
73130 58 41 $780.08
90473 83 78 $750.96
0064A 33 32 $749.24
85651 309 237 $703.86
72040 53 48 $699.60
99406 242 182 $688.12
3080F 8,305 6,205 $685.50
80048 Basic metabolic panel (calcium, ionized) 112 108 $661.63
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 17 15 $631.34
29515 19 16 $611.76
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 437 367 $584.03
J1885 Injection, ketorolac tromethamine, per 15 mg 10,000 6,821 $581.52
29125 12 12 $540.96
93242 69 58 $512.24
97161 12 12 $471.52
99231 Subsequent hospital care, per day, straightforward or low complexity 27 12 $438.77
A7015 Aerosol mask, used with dme nebulizer 422 367 $414.70
73030 38 31 $413.49
99462 16 14 $404.09
84481 46 42 $326.08
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 41 40 $294.89
90734 153 151 $267.80
92552 25 25 $260.21
82465 63 59 $246.81
83718 26 26 $203.75
11719 221 186 $199.56
73610 15 12 $196.00
51798 32 28 $195.23
94010 15 14 $186.34
82247 47 41 $171.45
92555 12 12 $142.11
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 2,391 1,667 $122.74
11056 28 25 $113.84
93296 66 56 $112.32
36415 Collection of venous blood by venipuncture 74 70 $91.16
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 229 187 $55.64
82550 12 12 $45.36
3051F 49 38 $40.00
70220 14 13 $26.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 168 160 $13.51
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 26 12 $8.61
99053 7,747 5,661 $2.41
90633 6,094 5,775 $1.01
90677 1,458 1,301 $0.65
91301 500 446 $0.09
90647 10,611 9,909 $0.04
90378 13 12 $0.03
90651 539 501 $0.03
1159F 10,703 9,709 $0.00
1160F 10,679 9,686 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 127,227 74,228 $0.00
90700 1,500 1,403 $0.00
90670 12,914 12,114 $0.00
90681 5,486 5,169 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 6,336 3,240 $0.00
4004F 885 565 $0.00
90710 498 485 $0.00
90707 1,520 1,420 $0.00
VH100 57 55 $0.00
91300 444 370 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 19 14 $0.00
90662 51 36 $0.00
90715 42 41 $0.00
91308 72 62 $0.00
90685 193 192 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 27 26 $0.00
90672 92 91 $0.00
0518F 12 12 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 37,847 22,371 $0.00
H0049 Alcohol and/or drug screening 6,838 3,694 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 15,057 8,945 $0.00
90723 10,639 9,939 $0.00
1036F 4,925 2,706 $0.00
1111F 695 571 $0.00
91307 371 285 $0.00
90696 282 276 $0.00
99024 3,899 2,312 $0.00
90716 1,502 1,407 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,925 763 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 319 226 $0.00
G0008 Administration of influenza virus vaccine 126 100 $0.00
4000F 137 97 $0.00
97010 86 25 $0.00
90656 132 113 $0.00
91305 12 12 $0.00
99345 Prolong home eval add 15m 17 13 $0.00
G0103 Prostate cancer screening; prostate specific antigen test (psa) 67 42 $0.00
90619 17 14 $0.00
90620 14 14 $0.00
WELL2 28 27 $0.00
99000 68 28 $0.00