Medicaid Provider Spending

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

CONGENIAL HEALTHCARE, LLC

NPI: 1124539382 · PEABODY, MA 01960 · Adult Medicine Physician · NPI assigned 10/16/2017

$132K
Total Medicaid Paid
3,525
Total Claims
3,131
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCHAOUI, ALAIN (PHYSICIAN)
Parent OrganizationCONGENIAL HEALTHCARE, LLC
NPI Enumeration Date10/16/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 280 $12K
2019 289 $12K
2020 503 $26K
2021 613 $37K
2022 771 $34K
2023 618 $9K
2024 451 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,722 1,516 $68K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,419 1,248 $63K
81002 278 271 $567.61
90686 13 13 $247.39
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 51 41 $188.27
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $184.05
G0444 Annual depression screening, 5 to 15 minutes 30 30 $42.18