Medicaid Provider Spending

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

ANTOINE PEPELJUGOSKI, CRYSTAL

NPI: 1073856357 · STONY BROOK, NY 11794 · Student in an Organized Health Care Education/Training Program · NPI assigned 04/04/2013

$10K
Total Medicaid Paid
375
Total Claims
366
Beneficiaries
4
Codes Billed
2020-12
First Month
2023-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 33 $417.36
2021 162 $5K
2022 166 $5K
2023 14 $432.14

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 296 291 $9K
99215 Prolong outpt/office vis 20 18 $899.13
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 45 43 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 14 14 $0.00