Medicaid Provider Spending

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

PINELES, EDWARD

NPI: 1144204215 · MIDDLE VILLAGE, NY 11379 · Internal Medicine Physician · NPI assigned 12/02/2005

$371K
Total Medicaid Paid
8,532
Total Claims
6,270
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,298 $127K
2019 905 $56K
2020 1,380 $53K
2021 1,119 $43K
2022 1,299 $32K
2023 1,498 $39K
2024 1,033 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
95004 Percutaneous tests with allergenic extracts, immediate type reaction 797 736 $160K
99232 Subsequent hospital care, per day, moderate complexity 3,133 1,170 $73K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 352 349 $36K
99222 Initial hospital care, per day, moderate complexity 909 859 $20K
94060 471 457 $16K
99306 Prolong nursin fac eval 15m 366 358 $13K
94729 359 347 $10K
94727 438 417 $10K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 113 100 $8K
94010 364 355 $7K
99308 Subsequent nursing facility care, per day, straightforward 519 445 $6K
93229 14 14 $5K
94621 16 13 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 45 44 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17 13 $1K
94200 172 166 $1K
94375 288 281 $862.79
99443 18 15 $636.25
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 57 54 $400.08
99305 14 13 $111.90
G9903 Patient screened for tobacco use and identified as a tobacco non-user 14 13 $0.00
1123F 15 13 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 13 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 15 14 $0.00
G8421 Bmi not documented and no reason is given 13 12 $0.00