Medicaid Provider Spending

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

DFW MEDICAL HOME PLLC

NPI: 1124441423 · IRVING, TX 75038 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 01/23/2014

$1.05M
Total Medicaid Paid
52,928
Total Claims
48,575
Beneficiaries
45
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKETHA, SUMANA (OWNER)
NPI Enumeration Date01/23/2014

Related Entities

Other providers sharing the same authorized official: KETHA, SUMANA

ProviderCityStateTotal Paid
SUMANA KETHA, MD PA IRVING TX $45K
DFW PRIMARY CARE PLLC IRVING TX $35K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,141 $3K
2019 2,679 $38K
2020 5,071 $80K
2021 10,180 $244K
2022 10,430 $297K
2023 11,404 $239K
2024 12,023 $146K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99350 Prolong home eval add 15m 11,048 10,279 $488K
99091 2,423 2,373 $269K
99349 2,208 2,012 $113K
99423 1,177 384 $51K
99444 567 154 $32K
99348 553 317 $15K
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 4,165 4,159 $14K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 178 177 $13K
99345 Prolong home eval add 15m 375 366 $13K
93922 320 299 $10K
95921 316 299 $9K
95923 315 298 $8K
99490 Ccm add 20min 1,859 1,847 $5K
99439 1,231 1,223 $3K
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 1,519 1,516 $2K
90674 105 103 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 85 84 $594.24
99347 14 14 $458.86
99497 744 691 $180.98
99454 755 754 $122.80
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 95 95 $115.61
90472 Immunization administration, each additional vaccine (list separately) 14 13 $86.24
99457 788 787 $49.21
99458 787 786 $31.46
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 1,474 1,353 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 4,355 4,122 $0.00
G0029 Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period 1,185 1,073 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 70 68 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 1,180 1,070 $0.00
99453 13 13 $0.00
3046F 406 350 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 71 68 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 12 12 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 5,359 5,022 $0.00
1123F 1,670 1,522 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 433 431 $0.00
1125F 446 416 $0.00
1170F 253 247 $0.00
G8733 Elder maltreatment screen documented as positive and a follow-up plan is documented 1,903 1,538 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,195 1,082 $0.00
G9711 Patients with a diagnosis or past history of total colectomy or colorectal cancer 1,204 1,100 $0.00
90686 12 12 $0.00
G0008 Administration of influenza virus vaccine 12 12 $0.00
93000 15 15 $0.00
99406 19 19 $0.00