Medicaid Provider Spending

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

EAST BERNSTADT MEDICAL CLINIC PLLC

NPI: 1114986197 · MANCHESTER, KY 40962 · Internal Medicine Physician · NPI assigned 03/20/2006

$874K
Total Medicaid Paid
47,589
Total Claims
36,382
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOHNSON, CARLA (BILLING/CREDENTIALING CLERK)
NPI Enumeration Date03/20/2006

Related Entities

Other providers sharing the same authorized official: JOHNSON, CARLA

ProviderCityStateTotal Paid
ANNVILLE-KY ADULT DAYCARE, LLC ANNVILLE KY $8.83M
IREDELL PHYSICIAN NETWORK LLC STATESVILLE NC $2.31M
EAST BERNSTADT MEDICAL CLINIC PLLC ANNVILLE KY $1.36M
EAST BERNSTADT MEDICAL CLINIC PLLC LONDON KY $830K
EAST BERNSTADT MEDICAL CLINIC PLLC MCKEE KY $825K
IREDELL PHYSICIAN NETWORK LLC STATESVILLE NC $772.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,271 $132K
2019 5,971 $122K
2020 5,620 $98K
2021 5,419 $123K
2022 7,660 $137K
2023 9,521 $147K
2024 7,127 $114K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,260 16,661 $590K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,352 3,487 $159K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,903 2,948 $45K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 984 839 $28K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,867 1,605 $17K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,482 686 $14K
36415 Collection of venous blood by venipuncture 3,171 2,591 $7K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 102 66 $4K
J0696 Injection, ceftriaxone sodium, per 250 mg 536 430 $4K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 365 249 $2K
81001 665 552 $584.63
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,732 1,326 $538.61
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 41 37 $393.02
90756 18 17 $276.90
90661 13 12 $195.00
81000 214 170 $173.61
99072 69 62 $150.00
97802 31 16 $97.90
3078F 600 476 $3.16
99000 194 149 $2.81
1126F 455 349 $2.78
3074F 569 462 $2.75
3008F 1,185 962 $1.08
3079F 216 175 $0.88
3075F 141 108 $0.72
1170F 82 54 $0.35
1160F 1,002 806 $0.22
1159F 1,005 808 $0.19
1125F 15 13 $0.14
1158F 36 30 $0.01
3288F 120 102 $0.01
3048F 13 12 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 44 29 $0.00
1101F 107 93 $0.00