Medicaid Provider Spending

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

EVERETT FORMAN PC

NPI: 1144402983 · LATHAM, NY 12110 · General Practice Physician · NPI assigned 12/04/2007

$75K
Total Medicaid Paid
1,360
Total Claims
1,282
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialFORMAN, EVERETT (PRESIDENT)
NPI Enumeration Date12/04/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 162 $8K
2019 217 $12K
2020 330 $17K
2021 174 $8K
2022 98 $7K
2023 266 $17K
2024 113 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 998 929 $54K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 207 201 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 155 152 $5K