Medicaid Provider Spending

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

PLIURA, THOMAS

NPI: 1124054010 · NORMAL, IL 61761 · Emergency Medical Services (Emergency Medicine) Physician · NPI assigned 06/23/2006

$1.60M
Total Medicaid Paid
44,929
Total Claims
34,587
Beneficiaries
21
Codes Billed
2020-05
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 7,972 $232K
2021 23,368 $840K
2022 12,620 $487K
2023 736 $26K
2024 233 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 15,950 12,024 $555K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,252 5,856 $396K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,008 5,673 $285K
99000 4,695 3,734 $101K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,847 1,541 $91K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,376 1,027 $69K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,242 2,359 $40K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 933 696 $31K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 520 217 $12K
86769 101 51 $4K
86328 51 47 $2K
99072 1,682 1,130 $2K
0002A 43 40 $2K
0011A 53 51 $2K
0003A 29 23 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 41 29 $829.45
86735 51 36 $689.11
0001A 13 13 $547.82
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15 14 $235.50
91300 15 14 $0.00
91301 12 12 $0.00