Medicaid Provider Spending

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

STERN, THEODORE

NPI: 1043202567 · WESTMONT, IL 60559 · Family Medicine Physician · NPI assigned 08/19/2005

$181K
Total Medicaid Paid
5,267
Total Claims
4,806
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 992 $28K
2019 1,643 $52K
2020 1,494 $49K
2021 312 $15K
2022 281 $14K
2023 140 $7K
2024 405 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 2,986 2,675 $97K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 694 643 $29K
99284 Emergency department visit for the evaluation and management, high severity 564 538 $27K
99282 Emergency department visit for the evaluation and management, low to moderate severity 823 753 $19K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 75 75 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 36 34 $1K
87631 12 12 $1K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 12 12 $900.00
99281 Emergency department visit for the evaluation and management, self-limited or minor 53 52 $731.85
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 12 12 $300.00