Medicaid Provider Spending

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

PRIMARY CARE INTERNAL MEDICINE OF ITHACA, PLLC

NPI: 1043736309 · ITHACA, NY 14850 · Internal Medicine Physician · NPI assigned 08/18/2017

$2K
Total Medicaid Paid
133
Total Claims
119
Beneficiaries
4
Codes Billed
2018-01
First Month
2022-03
Last Month

Provider Details

Authorized OfficialCOSTELLO, ANN (OWNER)
NPI Enumeration Date08/18/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28 $0.00
2019 47 $0.00
2020 14 $0.00
2021 28 $568.94
2022 16 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16 13 $1K
0064A 15 15 $568.91
91306 13 13 $0.03
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 89 78 $0.00