Medicaid Provider Spending

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

KELSOM CLINIC PA

NPI: 1104840594 · IRVING, TX 75061 · 207Q00000X

$590K
Total Medicaid Paid
47,867
Total Claims
39,384
Beneficiaries
68
Codes Billed
2018-03
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 159 $0.00
2019 1,711 $4K
2020 11,721 $51K
2021 15,738 $98K
2022 6,742 $180K
2023 6,401 $166K
2024 5,395 $91K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99091 2,671 2,546 $372K
99214 4,483 3,594 $164K
99423 718 307 $26K
99213 535 459 $14K
92100 101 98 $5K
99000 470 443 $5K
99396 79 73 $3K
92551 99 96 $757.44
90656 25 25 $144.13
96127 153 138 $67.20
3044F 397 343 $60.00
99406 14 14 $22.36
G8417 Calc bmi abv up param f/u 2,312 1,860 $0.00
G8427 Docrev cur meds by elig clin 4,908 3,854 $0.00
G8752 Sys bp less 140 1,688 1,417 $0.00
G8783 Bp scrn perf rec interval 828 678 $0.00
1160F 3,975 3,168 $0.00
G8482 Flu immunize order/admin 479 416 $0.00
G8753 Sys bp > or = 140 500 421 $0.00
1159F 4,249 3,364 $0.00
G8483 Flu imm no admin doc rea 388 329 $0.00
3078F 1,253 1,089 $0.00
G0444 Depression screen annual 205 196 $0.00
2022F 44 36 $0.00
G9899 Scrn mam perf rslts doc 148 123 $0.00
4004F 186 146 $0.00
G8730 Pain doc pos and plan 137 120 $0.00
92559 13 13 $0.00
G8731 Pain neg no plan 138 122 $0.00
G2102 Dil retinal eye exam 81 67 $0.00
G9900 Scrn mam perf rslts not doc 15 12 $0.00
4040F 12 12 $0.00
3077F 93 75 $0.00
G8511 Scr dep pos, no plan doc rng 63 52 $0.00
3288F 28 26 $0.00
99483 Prolong outpt/office vis 15 13 $0.00
G8539 Doc funct and care plan 51 48 $0.00
99442 26 23 $0.00
G8755 Dias bp > or = 90 201 168 $0.00
G8432 Dep scr not doc, rng 990 832 $0.00
G8510 Scr dep neg, no plan reqd 737 612 $0.00
1036F 2,830 2,281 $0.00
3079F 677 606 $0.00
1125F 1,261 1,041 $0.00
1126F 1,839 1,550 $0.00
G8754 Dias bp less 90 1,893 1,600 $0.00
G8420 Calc bmi norm parameters 925 775 $0.00
G9903 Pt scrn tbco id as non user 1,493 1,226 $0.00
3075F 150 139 $0.00
G9902 Pt scrn tbco and id as user 351 283 $0.00
G8536 No doc elder mal scrn 12 12 $0.00
G9717 Doc pt dx bipol 61 55 $0.00
3017F 603 474 $0.00
3074F 1,466 1,253 $0.00
3048F 130 107 $0.00
1034F 38 27 $0.00
G8542 Doc funct no deficiencies 239 188 $0.00
4010F 61 55 $0.00
3014F 27 26 $0.00
3049F 15 14 $0.00
G0008 Admin influenza virus vac 15 14 $0.00
99441 38 33 $0.00
G8430 Doc med rsn no medrec 28 23 $0.00
1123F 13 13 $0.00
3080F 19 17 $0.00
0001F 110 91 $0.00
G8952 Pre-htn/htn, no f/u, not gvn 46 37 $0.00
G8950 Pre-htn or htn doc, f/u indc 19 16 $0.00