Medicaid Provider Spending

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

1124110044

NPI: 1124110044

Deactivated NPI · This NPI was deactivated on 02/13/2022.
$312K
Total Medicaid Paid
20,928
Total Claims
16,877
Beneficiaries
31
Codes Billed
2018-01
First Month
2021-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,853 $128K
2019 7,081 $112K
2020 3,955 $37K
2021 1,039 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99444 3,004 811 $163K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,947 4,491 $93K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,971 2,542 $37K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,101 1,088 $6K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 1,898 1,898 $5K
99421 886 223 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 296 284 $2K
CP003 180 134 $1K
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 201 201 $1K
90686 117 116 $233.09
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 25 25 $92.03
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15 14 $66.34
J1885 Injection, ketorolac tromethamine, per 15 mg 57 56 $36.25
81002 189 169 $5.40
3725F 390 382 $0.00
0521F 412 368 $0.00
90756 296 294 $0.00
G0444 Annual depression screening, 5 to 15 minutes 39 38 $0.00
77080 13 13 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 31 31 $0.00
36415 Collection of venous blood by venipuncture 1,505 1,442 $0.00
G0008 Administration of influenza virus vaccine 395 392 $0.00
1036F 275 274 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 163 163 $0.00
1126F 227 223 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 289 280 $0.00
1111F 51 45 $0.00
1125F 589 516 $0.00
4010F 120 120 $0.00
3044F 220 218 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 26 26 $0.00