Medicaid Provider Spending

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

SANTIAGO, JULIO

NPI: 1144216185 · GALESBURG, IL 61401 · Family Medicine Physician · NPI assigned 09/26/2005

$392K
Total Medicaid Paid
18,730
Total Claims
12,303
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 230 $11K
2019 349 $17K
2020 1,537 $73K
2021 981 $50K
2022 5,786 $81K
2023 8,137 $95K
2024 1,710 $65K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,592 3,224 $210K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,289 1,897 $162K
87428 150 126 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 180 117 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 94 62 $990.88
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 63 40 $653.06
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 32 29 $423.90
90686 21 12 $373.14
87807 41 40 $342.04
99238 Hospital discharge day management, 30 minutes or less 13 13 $273.33
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 15 14 $206.83
99490 Ccm add 20min 12 12 $193.03
99307 12 12 $103.60
99308 Subsequent nursing facility care, per day, straightforward 12 12 $18.91
36415 Collection of venous blood by venipuncture 420 348 $15.75
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 16 12 $0.13
1160F 1,310 766 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,204 680 $0.00
3078F 843 511 $0.00
1159F 1,210 689 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 17 16 $0.00
3008F 1,457 850 $0.00
3074F 1,166 691 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,191 681 $0.00
1034F 358 205 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14 12 $0.00
1036F 540 329 $0.00
3079F 448 295 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 712 431 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 140 69 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 125 84 $0.00
3075F 33 24 $0.00