Medicaid Provider Spending

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

DOMINGUEZ, MARY

NPI: 1043568835 · NEW YORK, NY 10038 · Student in an Organized Health Care Education/Training Program · NPI assigned 08/27/2012

$65K
Total Medicaid Paid
2,604
Total Claims
2,203
Beneficiaries
12
Codes Billed
2019-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 222 $5K
2020 461 $8K
2021 309 $7K
2022 438 $14K
2023 548 $15K
2024 626 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 688 686 $26K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 698 693 $21K
99232 Subsequent hospital care, per day, moderate complexity 417 242 $6K
99233 Prolong inpt eval add15 m 243 98 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 189 187 $3K
90935 Hemodialysis procedure with single evaluation by a physician 205 133 $2K
90961 25 25 $843.60
90947 12 12 $410.79
3079F 34 34 $0.00
3074F 49 49 $0.00
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) 28 28 $0.00
3078F 16 16 $0.00