Medicaid Provider Spending

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

PROFESSIONAL MEDICAL ASSOCIATES PC

NPI: 1063476836 · ENTERPRISE, AL 36330 · Internal Medicine Physician · NPI assigned 04/17/2006

$388K
Total Medicaid Paid
15,263
Total Claims
13,581
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSENN, MELANIE (BUSINESS OFFICE MANAGER)
NPI Enumeration Date04/17/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,631 $43K
2019 2,567 $38K
2020 2,030 $55K
2021 3,511 $92K
2022 2,019 $60K
2023 1,513 $69K
2024 992 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,683 4,001 $235K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,696 1,492 $72K
99490 Ccm add 20min 3,244 3,180 $29K
99307 1,199 1,165 $9K
99308 Subsequent nursing facility care, per day, straightforward 858 791 $7K
80050 General health panel 157 152 $7K
80061 Lipid panel 733 585 $7K
80053 Comprehensive metabolic panel 760 570 $5K
83036 Hemoglobin; glycosylated (A1C) 479 439 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 68 63 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 759 550 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $2K
84443 Thyroid stimulating hormone (TSH) 40 36 $664.97
90674 28 28 $565.82
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 23 19 $492.49
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 16 13 $140.00
99318 13 13 $108.80
81003 39 39 $87.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14 14 $65.00
99309 Subsequent nursing facility care, per day, low to moderate complexity 83 83 $37.97
3008F 125 116 $0.00
36415 Collection of venous blood by venipuncture 79 77 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 37 37 $0.00
3044F 26 25 $0.00
3074F 20 17 $0.00
1160F 14 14 $0.00
3078F 43 35 $0.00
1159F 14 14 $0.00