Medicaid Provider Spending

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

ESSEX PEDIATRICS PC

NPI: 1104925817 · ESSEX JCT, VT 05452 · Pediatrics Physician

$1.20M
Total Medicaid Paid
60,365
Total Claims
54,970
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,653 $377K
2019 8,632 $364K
2020 7,883 $249K
2021 9,998 $71K
2022 9,326 $68K
2023 8,330 $65K
2024 8,543 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 13,973 12,988 $505K
99214 5,549 5,067 $212K
90460 9,625 8,369 $183K
99392 1,040 983 $56K
99391 617 484 $50K
90461 1,775 1,589 $42K
99393 1,294 1,237 $41K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 715 695 $24K
90471 2,270 2,209 $23K
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 4,010 3,817 $13K
99215 Prolong outpt/office vis 92 78 $10K
90480 260 246 $9K
92551 2,721 2,578 $9K
99394 216 195 $8K
99173 4,840 4,536 $4K
87880 517 480 $3K
0072A 49 49 $2K
96127 2,054 1,311 $2K
96110 383 308 $2K
0071A 20 20 $800.00
0074A 13 12 $480.00
0081A 13 13 $440.00
87081 140 120 $141.25
83655 13 13 $24.22
91307 152 147 $1.47
91300 47 37 $0.37
90686 4,601 4,319 $0.24
91308 13 13 $0.11
91320 13 13 $0.01
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1,034 936 $0.00
99051 257 245 $0.00
90685 65 64 $0.00
90661 534 492 $0.00
90633 28 25 $0.00
90670 47 38 $0.00
36416 195 172 $0.00
99000 478 445 $0.00
90674 632 564 $0.00
90744 12 12 $0.00
90698 45 38 $0.00
91319 13 13 $0.00