Medicaid Provider Spending

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

MURPHY, TOM

NPI: 1104087394 · PONTIAC, IL 61764 · Student in an Organized Health Care Education/Training Program · NPI assigned 06/19/2008

$596K
Total Medicaid Paid
16,038
Total Claims
13,692
Beneficiaries
23
Codes Billed
2018-01
First Month
2023-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,878 $140K
2019 4,237 $153K
2020 3,276 $119K
2021 3,345 $126K
2022 1,047 $45K
2023 255 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,054 6,892 $332K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,782 2,406 $162K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,495 1,300 $23K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 718 568 $23K
87428 227 224 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 398 319 $11K
96110 Developmental screening, with scoring and documentation, per standardized instrument 555 411 $9K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 69 57 $5K
90686 348 297 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 52 43 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 25 15 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 139 106 $1K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 80 73 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 17 12 $1K
99308 Subsequent nursing facility care, per day, straightforward 199 171 $900.32
81002 221 199 $568.70
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 13 $347.77
90633 25 16 $160.00
36415 Collection of venous blood by venipuncture 491 461 $115.40
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 15 12 $113.29
81025 12 12 $30.96
J1885 Injection, ketorolac tromethamine, per 15 mg 13 12 $13.75
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 89 73 $0.00