Medicaid Provider Spending

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

EAST GRANBY FAMILY PRACTICE LLC

NPI: 1154308229 · EAST GRANBY, CT 06026 · Family Nurse Practitioner · NPI assigned 12/29/2005

$137K
Total Medicaid Paid
7,253
Total Claims
6,560
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDIETRICH, STEVEN (PARTNER MD)
NPI Enumeration Date12/29/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 267 $16K
2019 694 $27K
2020 1,326 $18K
2021 1,242 $24K
2022 1,582 $24K
2023 861 $18K
2024 1,281 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,300 1,157 $79K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 586 526 $48K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 342 315 $4K
90686 180 168 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 52 48 $1K
99408 28 26 $657.72
81000 172 169 $471.12
36415 Collection of venous blood by venipuncture 118 112 $348.80
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 42 39 $343.50
99497 12 12 $199.32
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 20 17 $181.44
90656 13 13 $44.70
1160F 1,277 1,141 $0.00
G8482 Influenza immunization administered or previously received 228 212 $0.00
1159F 1,278 1,141 $0.00
3725F 59 56 $0.00
3078F 79 67 $0.00
S9470 Nutritional counseling, dietitian visit 178 173 $0.00
3016F 42 39 $0.00
1003F 15 14 $0.00
G0444 Annual depression screening, 5 to 15 minutes 59 56 $0.00
3210F 18 16 $0.00
3074F 206 186 $0.00
3008F 502 463 $0.00
1036F 408 357 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 13 13 $0.00
1126F 13 12 $0.00
1170F 13 12 $0.00