Medicaid Provider Spending

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

SUTTON, JOHN

NPI: 1164490025 · WARREN, PA 16365 · Family Medicine Physician · NPI assigned 03/08/2006

$290K
Total Medicaid Paid
9,136
Total Claims
8,491
Beneficiaries
12
Codes Billed
2020-11
First Month
2024-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 208 $7K
2021 2,452 $86K
2022 2,409 $83K
2023 3,691 $102K
2024 376 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,216 5,655 $208K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,516 1,472 $73K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 151 144 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 458 446 $3K
81002 132 128 $465.70
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 29 29 $319.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $264.00
90686 18 17 $176.00
3078F 245 238 $0.00
3077F 14 14 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 13 13 $0.00
3008F 332 323 $0.00