Medicaid Provider Spending

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

IDEAL OPTION, PLLC

NPI: 1063988145 · CUMBERLAND, MD 21502 · Clinic/Center · NPI assigned 10/16/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DAWSON, BRIAN controls 20+ related entities in our dataset. Read more

$1.79M
Total Medicaid Paid
14,132
Total Claims
9,218
Beneficiaries
4
Codes Billed
2018-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDAWSON, BRIAN (CMO)
NPI Enumeration Date10/16/2018

Related Entities

Other providers sharing the same authorized official: DAWSON, BRIAN

ProviderCityStateTotal Paid
IDEAL OPTION, PLLC KENNEWICK WA $39.28M
IDEAL OPTION, PLLC HAGERSTOWN MD $7.35M
IDEAL OPTION, PLLC CUT BANK MT $3.65M
IDEAL OPTION, PLLC GREAT FALLS MT $3.29M
COLORADO HOSPITALIST SERVICES, PLLC ENGLEWOOD CO $2.21M
IDEAL OPTION, PLLC BOZEMAN MT $1.62M
EAGLE CREEK EMERGENCY GROUP, PC PARIS TN $1.42M
IDEAL OPTION LAB KENNEWICK WA $1.32M
IDEAL OPTION, PLLC BILLINGS MT $1.16M
IDEAL OPTION, PLLC FREDERICK MD $1.06M
IDEAL OPTION, PLLC WALDORF MD $917K
IDEAL OPTION, PLLC KALISPELL MT $731K
IDEAL OPTION, PLLC HELENA MT $702K
IDEAL OPTION, PLLC HELENA MT $695K
IDEAL OPTION, PLLC WILLISTON ND $691K
IDEAL OPTION, PLLC GREAT FALLS MT $676K
IDEAL OPTION, PLLC BUTTE MT $620K
IDEAL OPTION, PLLC CATONSVILLE MD $590K
HAVELY SPRINGS EMERGENCY GROUP, PC SPRINGFIELD TN $584K
COLORADO HOSPITALIST SERVICES, PLLC DENVER CO $341K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 38 $6K
2019 1,968 $204K
2020 1,531 $151K
2021 2,587 $314K
2022 3,319 $467K
2023 2,278 $316K
2024 2,411 $330K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,131 8,435 $1.66M
99215 Prolong outpt/office vis 448 347 $80K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 510 393 $38K
99205 Prolong outpt/office vis 43 43 $9K