Medicaid Provider Spending

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

CAI, STEVEN

NPI: 1053468868 · NEW YORK, NY 10013 · Surgery Physician · NPI assigned 01/04/2007

$1.04M
Total Medicaid Paid
19,644
Total Claims
17,226
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 713 $81K
2019 1,165 $147K
2020 2,016 $257K
2021 3,246 $378K
2022 3,363 $118K
2023 4,621 $28K
2024 4,520 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76641 5,097 3,834 $475K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,452 3,374 $232K
19083 350 283 $198K
76642 433 387 $35K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 775 751 $32K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 236 236 $29K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 177 177 $19K
93702 354 351 $14K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 40 40 $6K
76882 53 51 $2K
99401 111 109 $677.51
G8752 Most recent systolic blood pressure < 140 mmhg 542 487 $199.25
G8754 Most recent diastolic blood pressure < 90 mmhg 743 665 $196.25
81025 17 12 $102.74
3078F 1,231 1,111 $85.60
3074F 936 843 $26.00
3008F 1,356 1,184 $15.00
G8753 Most recent systolic blood pressure >= 140 mmhg 55 54 $11.00
3075F 101 96 $0.00
3079F 279 259 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 190 163 $0.00
2000F 635 557 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 541 484 $0.00
3077F 377 339 $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) 311 300 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 398 344 $0.00
1159F 494 428 $0.00
1160F 360 307 $0.00