Medicaid Provider Spending

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

THE PEDIATRIC EXPRESS PA

NPI: 1093915662 · MORRISVILLE, NC 27560 · Pediatrics Physician · NPI assigned 07/23/2007

$6K
Total Medicaid Paid
62
Total Claims
52
Beneficiaries
3
Codes Billed
2018-03
First Month
2019-02
Last Month

Provider Details

Authorized OfficialGALLENTINE, DARLA (DO)
NPI Enumeration Date07/23/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 30 $4K
2019 32 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 30 28 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 12 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18 12 $876.04