Medicaid Provider Spending

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

PULMONARY ASSOCIATES OF FREDERICKSBURG INC

NPI: 1053340554 · FREDERICKSBURG, VA 22401 · Pulmonary Disease Physician · NPI assigned 06/30/2006

$748K
Total Medicaid Paid
17,874
Total Claims
14,602
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSANTOS, REINA (BILLING MANAGER)
NPI Enumeration Date06/30/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 732 $4K
2019 2,828 $86K
2020 1,792 $71K
2021 2,376 $105K
2022 2,483 $120K
2023 3,625 $178K
2024 4,038 $183K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,072 7,278 $441K
99232 Subsequent hospital care, per day, moderate complexity 2,931 1,239 $65K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,757 1,553 $57K
94729 1,059 1,010 $35K
94060 1,271 1,215 $30K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 292 281 $26K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 335 158 $21K
99215 Prolong outpt/office vis 192 181 $16K
99490 Ccm add 20min 656 613 $15K
99233 Prolong inpt eval add15 m 359 188 $14K
94726 284 272 $10K
94618 272 253 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 52 51 $4K
99222 Initial hospital care, per day, moderate complexity 95 78 $4K
99491 Ccm add 20min 140 133 $2K
93922 30 28 $2K
94727 33 30 $846.06
99439 44 41 $681.45