Medicaid Provider Spending

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

COMMONWEALTH SLEEP AND REHAB, PLLC

NPI: 1164552642 · LEXINGTON, KY 40509 · Sleep Medicine (Internal Medicine) Physician · NPI assigned 03/06/2007

$1.65M
Total Medicaid Paid
68,580
Total Claims
61,393
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMES, OLIVER (PRESIDENT/ OWNER)
NPI Enumeration Date03/06/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,719 $269K
2019 10,004 $246K
2020 10,217 $262K
2021 9,469 $253K
2022 8,827 $235K
2023 11,982 $215K
2024 7,362 $175K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44,896 39,956 $950K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,794 8,957 $342K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,792 1,623 $141K
62323 753 711 $79K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,785 2,503 $36K
64493 387 336 $35K
64635 133 105 $24K
64494 380 317 $18K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 245 236 $12K
64636 118 93 $8K
J7030 Infusion, normal saline solution , 1000 cc 943 812 $3K
20610 58 54 $2K
J1030 Injection, methylprednisolone acetate, 40 mg 314 282 $1K
G9500 Radiation exposure indices documented in final report for procedure using fluoroscopy 457 386 $649.88
J1040 Injection, methylprednisolone acetate, 80 mg 91 86 $617.72
J1100 Injection, dexamethasone sodium phosphate, 1 mg 507 460 $484.49
J2795 Injection, ropivacaine hydrochloride, 1 mg 56 46 $0.07
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,297 1,180 $0.03
1124F 1,141 1,055 $0.01
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 577 540 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 155 122 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 577 538 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 189 168 $0.00
1123F 151 123 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 353 310 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 355 331 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 55 45 $0.00
1036F 21 18 $0.00