Medicaid Provider Spending

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

NAUTILUS HEALTH CARE GROUP, PLC

NPI: 1164866877 · SOMERSET, KY 42503 · Surgery Physician · NPI assigned 04/24/2013

$261K
Total Medicaid Paid
17,813
Total Claims
9,550
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBASSIN, DAVID (CEO)
NPI Enumeration Date04/24/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,880 $44K
2019 2,830 $41K
2020 3,292 $39K
2021 3,281 $48K
2022 2,454 $37K
2023 1,519 $26K
2024 1,557 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 7,024 3,765 $117K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,381 3,252 $83K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,070 732 $23K
97597 1,219 645 $15K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,860 468 $7K
99222 Initial hospital care, per day, moderate complexity 112 101 $5K
99232 Subsequent hospital care, per day, moderate complexity 247 128 $4K
17250 274 173 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 45 40 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 43 38 $673.72
99308 Subsequent nursing facility care, per day, straightforward 393 127 $596.92
11045 60 40 $467.92
99231 Subsequent hospital care, per day, straightforward or low complexity 50 12 $236.99
99304 35 29 $111.15