Medicaid Provider Spending

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

PAI PARTICIPANT 1 LLC

NPI: 1093371312 · CHILLICOTHE, OH 45601 · Physician Assistant · NPI assigned 05/13/2019

$733K
Total Medicaid Paid
130,776
Total Claims
81,010
Beneficiaries
25
Codes Billed
2020-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFORD, JILL (AUTHORIZED OFFICAL)
NPI Enumeration Date05/13/2019

Related Entities

Other providers sharing the same authorized official: FORD, JILL

ProviderCityStateTotal Paid
MONROE COUNTY HEALTH DEPARTMENT TOMPKINSVILLE KY $229K
PAI PARTICIPANT 9 PA ELGIN TX $119K
PAI PARTICIPANT MA PC EAST BOSTON MA $292.09

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 4,097 $4K
2021 8,841 $25K
2022 31,224 $134K
2023 55,510 $279K
2024 31,104 $290K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 71,550 42,156 $449K
99308 Subsequent nursing facility care, per day, straightforward 41,936 25,286 $212K
99310 Prolong nursin fac eval 15m 5,295 3,321 $43K
99490 Ccm add 20min 4,695 4,481 $18K
99307 2,841 1,768 $3K
90792 Psychiatric diagnostic evaluation with medical services 94 89 $2K
99439 1,645 1,540 $2K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 554 512 $2K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 344 297 $989.13
99497 284 255 $936.69
99318 241 232 $368.62
99306 Prolong nursin fac eval 15m 16 16 $248.49
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 321 252 $1.41
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 109 102 $0.00
1124F 27 26 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 38 34 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 72 68 $0.00
99487 Ccm add 20min 14 14 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 80 64 $0.00
96127 162 130 $0.00
1123F 88 78 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 63 54 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 223 156 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 66 63 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 18 16 $0.00