Medicaid Provider Spending

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

GALLERY MEDICAL FAMILY CLINIC

NPI: 1134413537 · OKLAHOMA CITY, OK 73107 · Family Medicine Physician · NPI assigned 06/02/2011

$680K
Total Medicaid Paid
8,831
Total Claims
8,436
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHAAG, MATTHEW (MEDICAL DIRECTOR)
NPI Enumeration Date06/02/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 585 $35K
2019 713 $41K
2020 328 $23K
2021 911 $79K
2022 2,059 $169K
2023 2,229 $192K
2024 2,006 $142K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,778 4,487 $476K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,422 1,362 $99K
99215 Prolong outpt/office vis 262 256 $37K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 501 485 $28K
90460 Immunization administration through 18 years of age via any route, first or only component 221 217 $8K
80050 General health panel 177 176 $5K
92587 224 224 $4K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 41 39 $3K
93922 50 50 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 27 26 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 41 39 $2K
83036 Hemoglobin; glycosylated (A1C) 220 219 $2K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 36 35 $2K
80061 Lipid panel 118 118 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 43 43 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12 12 $1K
83735 144 140 $842.58
86140 141 137 $637.89
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 13 12 $587.99
36415 Collection of venous blood by venipuncture 52 51 $408.20
84550 75 75 $303.50
82248 59 59 $264.83
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 15 $262.05
84100 59 59 $249.50
82977 16 16 $102.40
83540 16 16 $92.00
90674 42 42 $89.73
90686 14 14 $19.22