Medicaid Provider Spending

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

VALDIVIA, MARTHA

NPI: 1083646970 · NEW YORK, NY 10033 · Internal Medicine Physician · NPI assigned 07/07/2006

$312K
Total Medicaid Paid
23,322
Total Claims
20,323
Beneficiaries
56
Codes Billed
2018-01
First Month
2024-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 721 $11K
2019 1,276 $58K
2020 4,410 $48K
2021 6,297 $71K
2022 3,853 $36K
2023 6,350 $59K
2024 415 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,157 4,086 $212K
99397 540 529 $28K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,259 1,045 $25K
93923 272 270 $12K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 765 750 $7K
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 649 639 $6K
G0444 Annual depression screening, 5 to 15 minutes 868 847 $5K
H0001 Alcohol and/or drug assessment 645 635 $3K
93922 86 86 $3K
73630 116 107 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 27 27 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 277 277 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 179 177 $1K
3074F 540 534 $570.00
76882 14 13 $536.58
20550 17 12 $508.09
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16 13 $491.41
3079F 330 327 $422.50
1159F 669 659 $85.00
1160F 649 639 $85.00
99442 51 51 $69.66
93000 12 12 $57.83
97802 762 748 $40.00
99496 14 14 $30.95
G8510 Screening for depression is documented as negative, a follow-up plan is not required 528 515 $22.50
90658 15 15 $18.49
1000F 600 591 $0.00
1036F 498 485 $0.00
1170F 90 90 $0.00
G9275 Documentation that patient is a current non-tobacco user 518 504 $0.00
3008F 635 628 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 163 162 $0.00
99429 577 527 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 373 369 $0.00
99443 17 17 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 218 216 $0.00
3048F 116 116 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 14 14 $0.00
3075F 15 15 $0.00
3044F 62 62 $0.00
1125F 25 25 $0.00
3049F 12 12 $0.00
1126F 14 14 $0.00
4013F 285 282 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 653 636 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 351 348 $0.00
3725F 644 628 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 478 466 $0.00
99080 2,503 96 $0.00
3016F 613 604 $0.00
2028F 65 65 $0.00
3078F 162 160 $0.00
0521F 25 25 $0.00
1158F 26 26 $0.00
1100F 65 65 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 48 48 $0.00