Medicaid Provider Spending

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

DOCTORS MEDICAL OFFICE PLLC

NPI: 1164848818 · MERRICK, NY 11566 · Family Medicine Physician · NPI assigned 03/05/2014

$665K
Total Medicaid Paid
18,788
Total Claims
17,322
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHALTRECHT, MARK (MANAGER/MEMBER)
NPI Enumeration Date03/05/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,304 $48K
2019 2,143 $73K
2020 3,722 $113K
2021 3,086 $106K
2022 2,643 $116K
2023 2,879 $124K
2024 3,011 $85K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,609 3,254 $278K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,262 3,821 $246K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 421 421 $40K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 280 280 $25K
93000 870 864 $12K
99401 641 598 $11K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 337 316 $9K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 145 139 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 69 69 $6K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 140 129 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 263 227 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 90 84 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 253 123 $3K
36415 Collection of venous blood by venipuncture 4,173 4,037 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 18 18 $2K
98929 26 26 $2K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 98 92 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 97 95 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $1K
99497 14 14 $867.25
96127 235 219 $834.70
99072 543 447 $732.50
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 106 105 $579.57
86769 23 23 $495.47
G0444 Annual depression screening, 5 to 15 minutes 47 47 $482.52
90688 26 26 $432.81
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 110 89 $156.55
94760 70 63 $16.38
99058 436 412 $0.04
1126F 73 68 $0.00
1170F 73 68 $0.00
99000 784 719 $0.00
1123F 73 68 $0.00
1125F 58 55 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 32 32 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 89 84 $0.00
1159F 73 68 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 46 42 $0.00
1160F 73 68 $0.00