Medicaid Provider Spending

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

DOWNRIVER INTERNISTS,P.C.

NPI: 1043352784 · TAYLOR, MI 48180 · Internal Medicine Physician · NPI assigned 02/12/2007

$813K
Total Medicaid Paid
29,224
Total Claims
26,871
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, BEVERLY (PRACTICE MANAGER)
NPI Enumeration Date02/12/2007

Related Entities

Other providers sharing the same authorized official: SMITH, BEVERLY

ProviderCityStateTotal Paid
TLC MEDICAL SUPPLY, LLC MANCHESTER KY $2K
FALLS CLINIC, P.C. CRYSTAL FALLS MI $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 604 $31K
2019 1,370 $46K
2020 1,727 $58K
2021 3,147 $94K
2022 5,623 $155K
2023 9,010 $234K
2024 7,743 $194K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,173 5,688 $402K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,397 2,310 $214K
99233 Prolong inpt eval add15 m 1,169 520 $76K
99223 Prolong inpt eval add15 m 484 476 $52K
99239 Hospital discharge day management, more than 30 minutes 303 297 $19K
99232 Subsequent hospital care, per day, moderate complexity 241 98 $12K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 52 52 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 811 807 $5K
90756 149 147 $4K
83036 Hemoglobin; glycosylated (A1C) 409 402 $3K
99220 30 30 $3K
36415 Collection of venous blood by venipuncture 688 667 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 35 34 $2K
93000 252 250 $2K
90673 40 40 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 169 167 $2K
84443 Thyroid stimulating hormone (TSH) 132 130 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $1K
94060 43 43 $966.38
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $821.56
99406 137 131 $507.37
80305 50 50 $490.21
80061 Lipid panel 30 29 $234.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $134.36
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 14 14 $17.07
99072 37 36 $11.25
3074F 3,753 3,481 $2.21
3079F 2,645 2,505 $1.55
3078F 2,626 2,456 $1.50
3080F 836 799 $1.42
3077F 992 938 $1.28
3075F 1,219 1,173 $0.99
G8432 Depression screening not documented, reason not given 2,232 2,036 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 717 712 $0.00
3044F 213 208 $0.00
3288F 63 62 $0.00
G0444 Annual depression screening, 5 to 15 minutes 12 12 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 35 35 $0.00