Medicaid Provider Spending

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

HAMILTON, SHAWN

NPI: 1134270069 · IRVINE, CA 92604 · Internal Medicine Physician · NPI assigned 01/16/2007

$1.57M
Total Medicaid Paid
31,191
Total Claims
26,948
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,002 $98K
2019 4,365 $191K
2020 5,783 $271K
2021 6,241 $293K
2022 4,986 $231K
2023 4,398 $253K
2024 3,416 $236K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 18,107 14,420 $1.09M
99205 Prolong outpt/office vis 1,887 1,872 $128K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,920 1,661 $118K
99385 872 802 $69K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 2,333 2,281 $41K
99406 2,420 2,375 $23K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 270 267 $22K
96156 1,425 1,348 $20K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 216 216 $19K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 302 289 $14K
96150 701 699 $10K
G9919 Screening performed and positive and provision of recommendations 169 160 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 32 32 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 163 153 $3K
G9920 Screening performed and negative 47 47 $1K
H0049 Alcohol and/or drug screening 94 94 $924.00
98960 19 19 $479.88
96151 16 16 $174.40
88142 12 12 $0.00
3074F 12 12 $0.00
3080F 20 20 $0.00
99449 26 26 $0.00
96160 35 35 $0.00
P3001 Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician 14 14 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 12 12 $0.00
3078F 27 26 $0.00
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 28 28 $0.00
3077F 12 12 $0.00