Medicaid Provider Spending

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

MACE MEDICAL LLC

NPI: 1114374360 · ESSEX, MD 21221 · Internal Medicine Physician · NPI assigned 05/18/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LEE, JOHN controls 20+ related entities in our dataset. Read more

$1.55M
Total Medicaid Paid
40,208
Total Claims
34,829
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEE, JOHN (PHYSICIAN)
NPI Enumeration Date05/18/2016

Related Entities

Other providers sharing the same authorized official: LEE, JOHN

ProviderCityStateTotal Paid
INDEPENDENT HEALTHCARE MANAGEMENT, INC. FOREST MS $12.39M
ALINEA IMAGING ASSOCIATES INC POMONA CA $6.97M
INDEPENDENT HEALTHCARE MANAGEMENT, INC. FOREST MS $4.74M
INDEPENDENT HEALTHCARE MANAGEMENT, INC. NEWTON MS $3.25M
INDEPENDENT HEALTHCARE MANAGEMENT, INC. FOREST MS $3.24M
INDEPENDENT HEALTHCARE MANAGEMENT, INC. MORTON MS $1.71M
INDEPENDENT HEALTHCARE MANAGEMENT, INC FOREST MS $703K
SERENITY AND GRACE HEALTHCARE LLC BALTIMORE MD $409K
FOREST FAMILY PRACTICE CLINIC PA FOREST MS $217K
VALLEE PSYCHIATRY LLC AVONDALE AZ $201K
VANCOUVER JOHN J LEE DDS,PC VANCOUVER WA $181K
INDEPENDENT HEALTHCARE MANAGEMENT INC MAGEE MS $127K
INDEPENDENT HEALTHCARE MANAGEMENT, INC, FOREST MS $125K
JOHN LEE JR DMD INC CHINO HILLS CA $113K
STELLAR BEHAVIORAL CONSULTING LTD LAS VEGAS NV $45K
INDEPENDENT HEALTHCARE MANAGEMENT, INC. FOREST MS $35K
NEW DAY DENTAL CARE VANCOUVER WA $19K
NORTHERN CALIFORNIA RADIATION THERAPISTS & ONCOLOGISTS MEDICAL GROUP I SAN FRANCISCO CA $14K
JOHN K. LEE, M.D., INC. FULLERTON CA $13K
JEFFERSON PAIN & REHABILITATION CENTER PITTSBURGH PA $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,594 $72K
2019 1,724 $57K
2020 5,345 $213K
2021 7,831 $286K
2022 8,882 $334K
2023 7,893 $316K
2024 6,939 $268K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,997 12,870 $1.18M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,922 3,468 $227K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 13,228 11,357 $77K
G8754 Most recent diastolic blood pressure < 90 mmhg 1,030 908 $15K
99309 Subsequent nursing facility care, per day, low to moderate complexity 406 370 $9K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,634 1,525 $9K
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) 430 266 $6K
G8752 Most recent systolic blood pressure < 140 mmhg 835 745 $5K
G8420 Bmi is documented within normal parameters and no follow-up plan is required 873 787 $5K
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,506 1,363 $3K
G0008 Administration of influenza virus vaccine 357 285 $3K
93000 171 144 $2K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 41 41 $2K
90756 199 183 $2K
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 125 95 $868.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 80 69 $616.92
G8482 Influenza immunization administered or previously received 42 40 $477.57
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $147.45
99497 43 41 $86.97
3074F 16 12 $80.00
3017F 29 28 $0.00
1036F 74 72 $0.00
1123F 17 17 $0.00
1111F 16 14 $0.00
3079F 12 12 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 13 13 $0.00
90688 17 14 $0.00
4040F 29 28 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 24 24 $0.00
3078F 14 12 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 16 14 $0.00