Medicaid Provider Spending

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

NPI: 1114042595 · POTTSTOWN, PA 19464 · Pulmonary Disease Physician · NPI assigned 03/21/2007

$31K
Total Medicaid Paid
1,884
Total Claims
1,734
Beneficiaries
7
Codes Billed
2020-11
First Month
2024-02
Last Month

Provider Details

Authorized OfficialENOCHS, SHANA (CREDENTIALING SPECIALIST)
Parent OrganizationPOTTSTOWN MEDICAL SPECIALISTS
NPI Enumeration Date03/21/2007

Related Entities

Other providers sharing the same authorized official: ENOCHS, SHANA

ProviderCityStateTotal Paid
PMSI COLLEGEVILLE FAMILY PRACTICE COLLEGEVILLE PA $68K
PMSI DIVISION OF CARDIOLOGY POTTSTOWN PA $9K
BROOKSIDE FAMILY PRACTICE & PEDIATRICS POTTSTOWN PA $8K
POTTSTOWN MEDICAL SPECIALISTS INC ROYERSFORD PA $5K
POTTSTOWN MEDICAL SPECIALISTS INC BOYERTOWN PA $54.42

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 65 $869.50
2021 778 $11K
2022 509 $8K
2023 461 $9K
2024 71 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 856 821 $15K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 333 290 $10K
94010 357 317 $3K
94729 49 49 $1K
94727 48 48 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 62 54 $556.81
99072 179 155 $0.00