Medicaid Provider Spending

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

1114000494

NPI: 1114000494

Deactivated NPI · This NPI was deactivated on 03/29/2023.
$1.75M
Total Medicaid Paid
52,219
Total Claims
47,348
Beneficiaries
67
Codes Billed
2018-01
First Month
2022-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,295 $220K
2019 9,430 $314K
2020 10,749 $374K
2021 12,603 $429K
2022 13,142 $412K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,085 9,673 $738K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,211 5,500 $509K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,554 1,525 $199K
99442 652 588 $44K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,445 2,363 $41K
93000 2,861 2,833 $39K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 295 290 $35K
90750 181 180 $19K
90686 1,248 1,248 $17K
99443 120 113 $11K
82270 3,220 1,272 $10K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,988 1,945 $9K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 21 21 $8K
36415 Collection of venous blood by venipuncture 6,588 6,335 $8K
90688 521 517 $7K
91200 304 302 $7K
99072 539 440 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 205 191 $6K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 156 151 $5K
95911 16 16 $3K
77080 79 79 $3K
99401 98 90 $2K
95943 18 18 $2K
93922 19 19 $2K
99497 65 65 $2K
99397 52 52 $2K
95923 18 18 $2K
3074F 983 978 $2K
0012A 35 35 $1K
3078F 870 867 $1K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 38 36 $1K
94060 13 13 $884.98
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 32 32 $868.54
90715 13 13 $483.96
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 43 39 $389.10
0011A 21 21 $386.40
81002 174 168 $382.99
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 758 750 $330.00
77085 16 15 $317.60
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 13 13 $309.41
86328 12 12 $228.79
G0444 Annual depression screening, 5 to 15 minutes 15 15 $198.29
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 13 12 $171.69
3079F 95 94 $171.50
90472 Immunization administration, each additional vaccine (list separately) 13 13 $164.26
G8510 Screening for depression is documented as negative, a follow-up plan is not required 32 32 $138.00
3075F 67 67 $127.50
82948 30 27 $119.55
1159F 1,210 1,176 $115.00
1160F 1,217 1,181 $112.50
G9903 Patient screened for tobacco use and identified as a tobacco non-user 516 512 $80.00
3044F 1,028 1,028 $45.00
82272 38 12 $36.66
G0008 Administration of influenza virus vaccine 242 242 $30.74
99000 191 182 $20.23
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 566 564 $12.00
3049F 57 57 $9.00
91301 27 27 $0.02
2000F 254 254 $0.00
1036F 1,302 1,296 $0.00
3008F 632 632 $0.00
4037F 751 750 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 220 216 $0.00
3048F 82 82 $0.00
1034F 12 12 $0.00
3351F 14 14 $0.00
3725F 15 15 $0.00