Medicaid Provider Spending

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

SADIQ, RIFFAT

NPI: 1053397620 · AMHERST, NY 14226 · Internal Medicine Physician · NPI assigned 12/15/2005

$303K
Total Medicaid Paid
20,094
Total Claims
17,021
Beneficiaries
54
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,373 $33K
2019 1,761 $17K
2020 3,809 $43K
2021 4,087 $47K
2022 4,394 $61K
2023 2,911 $56K
2024 1,759 $47K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,761 2,643 $91K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,995 2,840 $70K
99215 Prolong outpt/office vis 664 643 $29K
99490 Ccm add 20min 2,893 2,885 $29K
99443 596 516 $16K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,161 1,076 $15K
99442 806 719 $13K
99497 686 683 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 108 108 $8K
99441 458 419 $7K
99308 Subsequent nursing facility care, per day, straightforward 1,671 883 $6K
99491 Ccm add 20min 511 509 $3K
99487 Ccm add 20min 142 141 $2K
99232 Subsequent hospital care, per day, moderate complexity 264 65 $2K
99439 275 275 $1K
96127 600 569 $1K
99489 Ccm add 20min 22 22 $586.67
99305 40 39 $390.52
99307 91 79 $224.44
H0049 Alcohol and/or drug screening 35 33 $204.61
94010 20 18 $188.31
99239 Hospital discharge day management, more than 30 minutes 16 15 $169.52
93000 28 27 $110.81
99454 54 47 $37.26
99306 Prolong nursin fac eval 15m 17 17 $27.31
99457 46 46 $24.24
1111F 45 40 $7.28
3077F 17 12 $1.70
3074F 389 274 $1.45
3079F 32 28 $0.97
G8430 Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) 64 45 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 16 14 $0.00
3075F 133 108 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 13 12 $0.00
G9707 Patient received hospice services any time during the measurement period 37 27 $0.00
G8432 Depression screening not documented, reason not given 20 16 $0.00
1123F 64 60 $0.00
3061F 13 13 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 49 49 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 51 51 $0.00
2001F 18 15 $0.00
3078F 586 406 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 96 81 $0.00
G9990 Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period 52 52 $0.00
G8484 Influenza immunization was not administered, reason not given 39 29 $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) 119 118 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 12 12 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 62 61 $0.00
G8785 Blood pressure reading not documented, reason not given 23 18 $0.00
1159F 60 53 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 24 24 $0.00
1124F 16 13 $0.00
1160F 47 39 $0.00
99453 37 34 $0.00