Medicaid Provider Spending

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

1023354040

NPI: 1023354040

Deactivated NPI · This NPI was deactivated on 11/01/2020.
$545K
Total Medicaid Paid
73,342
Total Claims
48,813
Beneficiaries
47
Codes Billed
2018-01
First Month
2019-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 41,635 $378K
2019 31,707 $166K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 13,285 8,181 $165K
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 9,702 4,666 $94K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 3,467 2,827 $58K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 803 665 $44K
80321 3,160 2,195 $11K
80373 2,398 1,629 $9K
80346 2,590 1,771 $9K
80372 2,339 1,595 $9K
80348 3,200 2,251 $9K
80362 2,992 2,149 $9K
80324 2,451 1,724 $9K
80369 2,337 1,588 $9K
80368 2,323 1,579 $9K
80354 2,471 1,692 $9K
80358 2,354 1,611 $8K
80356 2,364 1,615 $8K
80365 2,256 1,571 $8K
80361 2,340 1,632 $8K
80345 2,350 1,597 $8K
80359 1,575 1,142 $7K
80353 1,391 1,013 $7K
80355 613 501 $6K
80366 583 476 $6K
80349 1,083 878 $6K
80360 88 69 $4K
83992 1,327 957 $4K
80367 94 74 $4K
80357 61 43 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 283 229 $2K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 458 451 $1K
80336 13 12 $1K
80050 General health panel 76 70 $275.30
80061 Lipid panel 118 94 $270.36
80363 14 14 $248.49
82670 44 26 $161.25
82627 46 26 $128.33
83001 46 26 $107.24
83002 45 25 $106.87
84144 45 25 $72.07
84443 Thyroid stimulating hormone (TSH) 12 12 $43.24
80076 13 12 $39.00
82248 19 17 $37.44
85025 Blood count; complete (CBC), automated, and automated differential WBC count 21 16 $16.00
80335 24 12 $14.05
80053 Comprehensive metabolic panel 14 14 $12.00
80323 23 12 $4.11
85027 31 29 $0.00