Medicaid Provider Spending

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

MICHAEL R DIBENEDETTO MD PLLC

NPI: 1083809727 · PONDERAY, ID 83852 · Cardiac Rehabilitation Clinic/Center · NPI assigned 09/06/2007

$236K
Total Medicaid Paid
4,544
Total Claims
3,674
Beneficiaries
7
Codes Billed
2018-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGARMAN, DANIEL (PRACTICE MANAGER)
NPI Enumeration Date09/06/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 75 $4K
2019 34 $2K
2020 1,183 $62K
2021 1,493 $66K
2022 1,030 $56K
2023 453 $29K
2024 276 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,419 1,744 $99K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,366 1,202 $95K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 418 412 $31K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 43 43 $6K
73630 119 100 $2K
11721 130 126 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 49 47 $674.79