Medicaid Provider Spending

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

VALDEZ & SOTO, LLC

NPI: 1114377702 · PEWAUKEE, WI 53072 · Child & Adolescent Psychiatry Physician · NPI assigned 06/15/2016

$646K
Total Medicaid Paid
53,703
Total Claims
38,826
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDURST, BOBBI (OWNER)
NPI Enumeration Date06/15/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,209 $6K
2019 3,712 $11K
2020 10,882 $179K
2021 12,829 $194K
2022 12,922 $129K
2023 7,658 $66K
2024 4,491 $61K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 15,249 10,963 $243K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,950 10,827 $205K
Q3014 Telehealth originating site facility fee 15,762 11,144 $88K
90847 Family psychotherapy with the patient present, 50 minutes 1,547 1,245 $52K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,203 989 $16K
90836 1,059 800 $16K
90785 2,395 1,782 $10K
90792 Psychiatric diagnostic evaluation with medical services 272 213 $6K
99215 Prolong outpt/office vis 162 111 $5K
90875 105 75 $3K
90846 Family psychotherapy without the patient present, 50 minutes 48 38 $3K
90832 Psychotherapy, 30 minutes with patient 91 74 $766.61
96127 744 480 $274.64
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 12 $245.73
80305 41 29 $65.30
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 23 17 $63.51
H0002 Behavioral health screening to determine eligibility for admission to treatment program 39 27 $0.00