Medicaid Provider Spending

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

THORNTON, KAREN

NPI: 1073629069 · NEW YORK, NY 10019 · Family Medicine Physician · NPI assigned 08/22/2006

$13.49M
Total Medicaid Paid
484,458
Total Claims
167,989
Beneficiaries
18
Codes Billed
2020-04
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,750 $50K
2021 4,141 $131K
2022 86,288 $1.36M
2023 390,931 $11.92M
2024 1,348 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 140,141 38,081 $8.09M
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 136,869 37,850 $2.66M
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 41,100 27,364 $1.14M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 24,876 3,921 $714K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 119,878 43,227 $517K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 12,076 9,147 $97K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,167 2,119 $81K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,366 1,809 $53K
S9083 Global fee urgent care centers 511 471 $52K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,121 1,836 $52K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 366 346 $12K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 526 489 $12K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 197 196 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 164 89 $2K
36415 Collection of venous blood by venipuncture 595 582 $977.94
99243 45 44 $746.04
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 31 31 $302.42
S9088 Services provided in an urgent care center (list in addition to code for service) 429 387 $0.00