Medicaid Provider Spending

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

RUSSELL, PHILIP

NPI: 1073625794 · SANFORD, ME 04073 · Psychiatry Physician · NPI assigned 08/31/2006

$722K
Total Medicaid Paid
7,342
Total Claims
3,631
Beneficiaries
9
Codes Billed
2018-08
First Month
2023-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 262 $29K
2019 970 $100K
2020 1,307 $102K
2021 1,943 $173K
2022 1,920 $215K
2023 940 $103K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 4,072 962 $348K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,237 948 $125K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 524 437 $77K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 503 426 $60K
99239 Hospital discharge day management, more than 30 minutes 433 403 $43K
90792 Psychiatric diagnostic evaluation with medical services 227 222 $35K
99223 Prolong inpt eval add15 m 98 89 $18K
99232 Subsequent hospital care, per day, moderate complexity 104 29 $9K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 144 115 $8K