Medicaid Provider Spending

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

SURE, HERTZEL

NPI: 1083727762 · ELMHURST, NY 11373 · Internal Medicine Physician · NPI assigned 08/16/2006

$771K
Total Medicaid Paid
41,802
Total Claims
32,930
Beneficiaries
59
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,105 $101K
2019 8,847 $169K
2020 7,034 $151K
2021 10,383 $269K
2022 2,448 $27K
2023 5,416 $26K
2024 2,569 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,071 5,845 $413K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,039 1,625 $111K
99442 904 742 $43K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 503 444 $40K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 393 388 $27K
93000 2,329 2,214 $27K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 276 251 $20K
99205 Prolong outpt/office vis 78 76 $10K
81002 6,331 4,795 $9K
81025 1,607 1,264 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 771 521 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 287 259 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 288 277 $4K
93922 211 188 $4K
99215 Prolong outpt/office vis 39 38 $4K
82948 2,197 1,534 $4K
90756 182 180 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 29 28 $3K
99308 Subsequent nursing facility care, per day, straightforward 61 28 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 105 96 $2K
71045 Radiologic examination, chest; single view 127 116 $2K
82962 2,119 1,465 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 49 46 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 121 110 $2K
99441 190 151 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete 13 13 $1K
0013A 30 30 $1K
36415 Collection of venous blood by venipuncture 3,188 2,974 $1K
95923 29 27 $1K
82947 437 304 $921.21
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 69 58 $876.46
0011A 26 25 $696.47
94010 30 28 $687.14
0012A 24 24 $655.38
87070 115 107 $650.30
95921 28 27 $572.41
82607 80 53 $421.58
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 156 130 $412.46
G0444 Annual depression screening, 5 to 15 minutes 43 37 $403.72
90688 26 26 $269.57
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 244 137 $244.53
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 18 12 $179.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 32 15 $127.27
89220 31 31 $98.47
94760 93 88 $37.46
1160F 1,174 916 $34.02
3078F 367 297 $10.08
3074F 314 265 $10.07
3075F 58 52 $2.53
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 18 12 $0.57
3008F 3,152 2,220 $0.46
1159F 900 684 $0.01
3079F 56 50 $0.01
3725F 198 195 $0.00
4035F 456 439 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 30 27 $0.00
3077F 55 50 $0.00
1030F 643 599 $0.00
99429 362 297 $0.00