Medicaid Provider Spending

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

OPTIMUM PRI-MED CARE PA

NPI: 1154698975 · PASSAIC, NJ 07055 · Family Medicine Physician · NPI assigned 11/22/2011

$726K
Total Medicaid Paid
28,719
Total Claims
23,778
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialLEON-WONG, HECTOR (OWNER/MEDICAL DIRECTOR)
NPI Enumeration Date11/22/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,891 $161K
2019 5,797 $141K
2020 4,207 $90K
2021 4,577 $101K
2022 4,168 $94K
2023 3,922 $89K
2024 2,157 $51K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,380 16,589 $683K
99401 945 906 $17K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 842 802 $5K
36415 Collection of venous blood by venipuncture 1,676 1,651 $4K
93000 401 397 $4K
93922 163 162 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 50 50 $3K
90756 162 161 $1K
G0008 Administration of influenza virus vaccine 295 292 $1K
90686 79 79 $570.03
90674 30 29 $465.56
99442 54 52 $403.63
94060 12 12 $321.71
94726 12 12 $155.59
94729 12 12 $142.80
94727 12 12 $111.72
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 26 26 $67.92
94664 12 12 $62.40
94200 12 12 $60.00
3074F 237 237 $0.00
3008F 1,566 1,540 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 94 91 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 406 401 $0.00
3078F 224 224 $0.00
1159F 17 17 $0.00