Medicaid Provider Spending

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

CAPITAL HEALTH MULTISPECIALTY GROUP

NPI: 1083072342 · TRENTON, NJ 08638 · Plastic and Reconstructive Surgery Physician · NPI assigned 02/02/2016

$2.02M
Total Medicaid Paid
101,769
Total Claims
70,186
Beneficiaries
64
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFLEMING, SHANE (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date02/02/2016

Related Entities

Other providers sharing the same authorized official: FLEMING, SHANE

ProviderCityStateTotal Paid
CAPITAL HEALTH MEDICAL GROUP TRENTON NJ $19.25M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,014 $355K
2019 4,409 $146K
2020 4,819 $119K
2021 5,880 $107K
2022 30,739 $497K
2023 40,582 $671K
2024 7,326 $129K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 18,999 8,235 $327K
99233 Prolong inpt eval add15 m 10,532 5,239 $239K
90791 Psychiatric diagnostic evaluation 2,055 1,625 $202K
90792 Psychiatric diagnostic evaluation with medical services 711 592 $154K
70450 Computed tomography, head or brain; without contrast material 7,516 6,356 $152K
99238 Hospital discharge day management, 30 minutes or less 2,710 2,683 $137K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,908 565 $127K
99460 2,076 2,066 $97K
99223 Prolong inpt eval add15 m 2,656 2,442 $75K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,665 2,364 $75K
99239 Hospital discharge day management, more than 30 minutes 2,821 2,609 $64K
99462 1,682 1,586 $42K
71045 Radiologic examination, chest; single view 18,726 14,092 $42K
99283 Emergency department visit for the evaluation and management, moderate severity 1,619 1,529 $39K
72125 Computed tomography, cervical spine; without contrast material 1,562 1,329 $35K
99284 Emergency department visit for the evaluation and management, high severity 991 908 $31K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,337 1,164 $28K
99308 Subsequent nursing facility care, per day, straightforward 6,447 3,856 $26K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 511 486 $15K
77067 Screening mammography, bilateral, including computer-aided detection 1,504 1,418 $15K
71046 Radiologic examination, chest; 2 views 3,998 3,641 $13K
76705 Ultrasound, abdominal, real time with image documentation; limited 693 612 $9K
99307 4,382 1,689 $9K
71275 Computed tomographic angiography, chest, with contrast material 279 238 $8K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 106 89 $7K
70551 Magnetic resonance imaging, brain; without contrast material 149 124 $6K
71250 334 266 $6K
76830 Ultrasound, transvaginal 243 217 $6K
99222 Initial hospital care, per day, moderate complexity 213 200 $5K
36573 45 40 $3K
71260 Computed tomography, thorax, diagnostic; with contrast material 134 117 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 152 130 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity 373 284 $3K
99253 29 28 $2K
70486 79 63 $2K
99217 102 100 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 122 71 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 169 148 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 50 40 $1K
59025 Fetal non-stress test 162 122 $1K
99254 13 13 $1K
99282 Emergency department visit for the evaluation and management, low to moderate severity 38 38 $868.99
99221 12 12 $854.92
72131 18 13 $748.60
76775 45 38 $648.80
76937 106 83 $513.28
99220 20 20 $474.38
70496 18 12 $465.49
73130 104 88 $412.68
73564 68 56 $379.98
71271 28 26 $347.62
36410 41 34 $329.81
76642 28 26 $327.11
73610 86 84 $323.50
76801 14 14 $308.00
73630 69 65 $283.34
93970 21 16 $264.00
74018 69 66 $191.68
77080 41 39 $153.87
99306 Prolong nursin fac eval 15m 14 12 $133.56
73030 33 29 $106.18
93971 14 12 $72.00
73110 14 14 $59.40
73590 13 13 $39.81