Medicaid Provider Spending

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

1053429167

NPI: 1053429167

$467K
Total Medicaid Paid
29,203
Total Claims
26,957
Beneficiaries
36
Codes Billed
2018-01
First Month
2023-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,070 $16K
2019 2,979 $32K
2020 5,006 $69K
2021 5,291 $104K
2022 7,188 $132K
2023 6,669 $115K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 8,867 7,465 $254K
99204 2,974 2,949 $106K
94060 2,110 2,071 $42K
99213 1,371 1,265 $22K
93000 1,925 1,895 $11K
99490 Ccm add 20min 1,936 1,899 $8K
99203 177 176 $6K
93922 139 138 $5K
99443 132 128 $3K
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 1,155 1,154 $2K
81002 2,374 2,186 $1K
90688 159 158 $905.35
98928 84 76 $859.24
T1013 Sign language or oral interpretive services, per 15 minutes 121 112 $770.00
99212 69 42 $673.80
96372 160 92 $605.12
98927 81 64 $579.39
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 27 27 $547.66
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 24 23 $469.20
90471 45 45 $389.40
99406 99 90 $332.38
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 39 35 $315.62
0011A 22 22 $180.17
99439 212 205 $167.14
94664 27 27 $115.76
G3002 Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) 397 372 $98.92
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 120 63 $77.96
94640 12 12 $64.97
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 370 347 $33.47
90756 16 16 $22.79
82962 2,005 1,878 $22.70
36415 1,435 1,416 $20.82
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 41 38 $0.00
1100F 13 12 $0.00
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 399 393 $0.00
G0008 Administration of influenza virus vaccine 66 66 $0.00