Medicaid Provider Spending

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

MOUNTAINSTATE INFECTIOUS DISEASE, PLLC

NPI: 1114491792 · BRIDGEPORT, WV 26330 · Infectious Disease Physician · NPI assigned 01/16/2019

$473K
Total Medicaid Paid
12,076
Total Claims
3,893
Beneficiaries
7
Codes Billed
2020-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDELAPORTAS, DINO (MD/OWNER)
NPI Enumeration Date01/16/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,929 $144K
2021 2,946 $79K
2022 2,531 $91K
2023 2,504 $97K
2024 1,166 $62K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 6,571 1,697 $277K
99232 Subsequent hospital care, per day, moderate complexity 3,957 1,087 $98K
99223 Prolong inpt eval add15 m 1,158 882 $81K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 252 130 $14K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 87 56 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35 25 $659.83
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16 16 $296.05