Medicaid Provider Spending

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

PARTNERS IN PEDIATRICS P.C.

NPI: 1033298542 · HELENA, MT 59601 · Pediatrics Physician · NPI assigned 11/03/2006

$4.33M
Total Medicaid Paid
58,825
Total Claims
54,411
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialENGLAND, THOMAS (OWNER, BILLING COMPANY)
NPI Enumeration Date11/03/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,260 $872K
2019 13,230 $894K
2020 8,241 $521K
2021 7,281 $549K
2022 6,614 $533K
2023 5,714 $510K
2024 4,485 $448K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,402 15,864 $1.50M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,160 7,270 $1.07M
90460 Immunization administration through 18 years of age via any route, first or only component 11,007 10,363 $561K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,595 3,428 $428K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,277 2,950 $360K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,330 1,264 $160K
90670 1,486 1,458 $52K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 336 313 $43K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,977 1,837 $40K
90686 3,918 3,588 $21K
99215 Prolong outpt/office vis 78 67 $16K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 133 133 $13K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 603 566 $10K
90723 529 520 $7K
90651 95 92 $6K
90734 96 91 $5K
90716 147 141 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 86 84 $4K
90647 592 583 $3K
90681 80 79 $3K
90707 132 127 $3K
90633 229 226 $2K
90685 452 437 $2K
90480 116 66 $2K
94060 29 27 $2K
80061 Lipid panel 94 93 $2K
83655 107 104 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 12 12 $1K
90656 197 195 $1K
90715 55 52 $839.20
90688 221 212 $703.58
91319 12 12 $517.44
90677 27 24 $502.04
96127 70 67 $407.82
90687 61 61 $209.82
36416 538 519 $168.72
81002 27 26 $78.80
99177 1,507 1,448 $0.00
94664 12 12 $0.00