Medicaid Provider Spending

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

PRIVATE MEDICAL GROUP OF NEW ROCHELLE

NPI: 1154439941 · NEW ROCHELLE, NY 10801 · Internal Medicine Physician · NPI assigned 08/29/2006

$46K
Total Medicaid Paid
2,013
Total Claims
1,890
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialMUSSMAN, JAMES (PHYSICIAN)
NPI Enumeration Date08/29/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 152 $9K
2019 167 $11K
2020 379 $9K
2021 556 $5K
2022 150 $1.32
2023 385 $7K
2024 224 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 697 642 $45K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13 12 $1K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 482 466 $3.75
G8783 Normal blood pressure reading documented, follow-up not required 111 109 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 490 455 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 38 36 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 143 133 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 13 12 $0.00
G8482 Influenza immunization administered or previously received 13 13 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 13 12 $0.00