Medicaid Provider Spending

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

1164440152

NPI: 1164440152

Deactivated NPI · This NPI was deactivated on 04/28/2021.
$1.59M
Total Medicaid Paid
47,924
Total Claims
39,949
Beneficiaries
50
Codes Billed
2018-01
First Month
2021-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,387 $239K
2019 9,501 $285K
2020 23,089 $705K
2021 10,947 $365K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,433 5,132 $623K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,590 2,365 $171K
96156 2,102 1,829 $139K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,383 2,121 $107K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,500 1,134 $70K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 790 740 $62K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7,708 5,282 $59K
99215 Prolong outpt/office vis 411 359 $50K
92551 3,123 2,782 $42K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 410 388 $27K
99384 258 245 $24K
86580 3,318 2,966 $21K
92083 798 734 $19K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 189 170 $13K
92081 276 225 $13K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 89 86 $12K
99383 157 150 $12K
83655 800 742 $11K
90649 804 742 $11K
90655 1,155 1,086 $10K
96150 467 439 $10K
90734 738 687 $10K
90620 690 641 $9K
81000 2,783 2,541 $8K
85018 2,368 2,187 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 242 196 $6K
90658 485 438 $6K
83036 Hemoglobin; glycosylated (A1C) 359 293 $5K
90700 323 291 $5K
90715 496 475 $5K
90460 Immunization administration through 18 years of age via any route, first or only component 156 124 $3K
99000 651 622 $3K
99403 65 62 $3K
81002 263 221 $3K
96127 236 221 $3K
87070 63 50 $3K
99382 29 26 $2K
99205 Prolong outpt/office vis 12 12 $1K
85014 493 474 $1K
90461 35 31 $1K
90716 76 68 $1K
90707 97 92 $1K
96151 32 29 $999.54
36415 Collection of venous blood by venipuncture 62 61 $959.07
99173 278 269 $744.88
83518 31 31 $552.93
90713 56 53 $504.00
A4206 Syringe with needle, sterile, 1 cc or less, each 18 12 $140.00
90644 14 13 $117.00
90633 12 12 $108.00