Medicaid Provider Spending

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

PENALO, PEDRO

NPI: 1104920859 · WESLACO, TX 78596 · Internal Medicine Physician · NPI assigned 09/12/2006

$145K
Total Medicaid Paid
16,238
Total Claims
13,770
Beneficiaries
25
Codes Billed
2020-05
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,168 $4K
2021 4,452 $40K
2022 5,080 $44K
2023 3,582 $34K
2024 1,956 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,225 1,907 $82K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,010 1,751 $53K
90674 108 106 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 149 144 $2K
90756 65 63 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 25 25 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 34 32 $904.60
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 52 49 $654.82
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 18 13 $534.59
96130 211 194 $529.26
90661 26 26 $495.90
36415 Collection of venous blood by venipuncture 374 365 $0.00
1126F 136 123 $0.00
1101F 295 275 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 187 171 $0.00
1170F 335 314 $0.00
1111F 27 27 $0.00
4037F 12 12 $0.00
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 17 16 $0.00
1159F 4,271 3,471 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,044 888 $0.00
1160F 4,239 3,454 $0.00
1158F 103 92 $0.00
99497 163 149 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 112 103 $0.00