Medicaid Provider Spending

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

ALLERGY AND ASTHMA CENTER, INC

NPI: 1104913417 · WILMINGTON, OH 45177 · Allergy & Immunology Physician · NPI assigned 10/06/2006

$96K
Total Medicaid Paid
3,256
Total Claims
2,285
Beneficiaries
8
Codes Billed
2018-01
First Month
2019-04
Last Month

Provider Details

Authorized OfficialREVAN, VIDYASHANKAR (MD / PRESIDENT)
NPI Enumeration Date10/06/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,581 $74K
2019 675 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
95004 Percutaneous tests with allergenic extracts, immediate type reaction 242 218 $29K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 692 630 $24K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 195 185 $17K
94010 639 574 $11K
95117 1,311 516 $9K
94060 113 106 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 27 25 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 37 31 $2K