Medicaid Provider Spending

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

ESTILL MEDICAL CLINIC, PSC

NPI: 1154500296 · IRVINE, KY 40336 · Family Medicine Physician · NPI assigned 10/25/2007

$1.05M
Total Medicaid Paid
41,866
Total Claims
31,983
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialISFORT, DONNA (OWNER)
NPI Enumeration Date10/25/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,480 $168K
2019 5,634 $141K
2020 5,738 $163K
2021 7,002 $166K
2022 6,509 $153K
2023 6,097 $151K
2024 4,406 $110K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38,177 29,076 $1.01M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,480 1,112 $18K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 83 67 $6K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 510 449 $5K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 275 244 $4K
99304 154 36 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 194 179 $4K
J0696 Injection, ceftriaxone sodium, per 250 mg 86 67 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 32 26 $2K
99406 317 241 $2K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 102 83 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 178 158 $125.99
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 78 65 $0.78
3008F 92 77 $0.26
1125F 16 14 $0.06
3080F 12 12 $0.00
G0444 Annual depression screening, 5 to 15 minutes 53 50 $0.00
3077F 27 27 $0.00