Medicaid Provider Spending

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

GARCIA-ALBARRAN, CARMEN

NPI: 1174610760 · NEW YORK, NY 10033 · Pediatrics Physician · NPI assigned 10/06/2006

$338K
Total Medicaid Paid
68,863
Total Claims
63,509
Beneficiaries
93
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,130 $42K
2019 8,872 $48K
2020 14,094 $51K
2021 19,809 $109K
2022 10,514 $29K
2023 936 $4K
2024 9,508 $56K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90460 Immunization administration through 18 years of age via any route, first or only component 3,193 3,118 $63K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,550 5,652 $55K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,514 1,466 $46K
92587 2,719 2,706 $45K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 978 962 $15K
99401 4,247 3,943 $13K
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 3,131 2,858 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,401 2,182 $10K
90472 Immunization administration, each additional vaccine (list separately) 275 270 $8K
86328 552 547 $8K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 301 287 $5K
87631 395 383 $4K
D1206 Topical application of fluoride varnish 146 146 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 444 443 $3K
36410 2,287 2,231 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 419 419 $3K
87110 175 175 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 130 117 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 203 200 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 302 300 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 210 205 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 218 218 $2K
99441 325 315 $2K
83655 247 246 $2K
86769 446 441 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 817 787 $2K
99177 2,519 2,499 $2K
H0049 Alcohol and/or drug screening 783 781 $2K
0072A 46 46 $2K
94642 173 151 $2K
0071A 44 44 $2K
90661 42 42 $1K
97802 986 948 $1K
94200 460 408 $1K
90686 1,112 1,108 $1K
90660 101 101 $1K
99188 107 106 $949.48
90656 111 111 $920.04
A4614 Peak expiratory flow rate meter, hand held 462 418 $906.98
99173 807 807 $707.94
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 82 68 $704.02
81002 2,349 2,306 $682.75
90461 192 190 $554.86
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 151 151 $471.81
0004A 13 13 $422.22
83036 Hemoglobin; glycosylated (A1C) 129 129 $249.07
94664 117 103 $180.55
92557 38 38 $167.76
90688 175 175 $158.75
81000 553 536 $154.44
97803 29 27 $150.36
H0001 Alcohol and/or drug assessment 746 745 $144.57
96127 834 833 $138.84
93000 15 15 $130.08
36415 Collection of venous blood by venipuncture 308 300 $128.60
80061 Lipid panel 123 122 $108.72
90674 97 97 $100.00
99000 2,820 2,693 $85.00
86580 14 14 $79.39
G8510 Screening for depression is documented as negative, a follow-up plan is not required 508 508 $78.00
36406 48 47 $74.44
90672 30 30 $26.88
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 1,815 1,634 $20.00
G0271 Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes 40 40 $18.60
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,297 2,215 $15.00
81001 19 19 $3.81
91307 99 90 $0.26
91300 31 31 $0.10
90633 54 54 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 714 714 $0.00
3725F 644 644 $0.00
99072 958 917 $0.00
G9820 Documentation of a chlamydia screening test with proper follow-up 654 653 $0.00
3016F 477 477 $0.00
99080 1,999 93 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 196 181 $0.00
90670 12 12 $0.00
90648 12 12 $0.00
90715 12 12 $0.00
3078F 73 73 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 916 852 $0.00
1036F 645 644 $0.00
3008F 4,342 3,787 $0.00
G9275 Documentation that patient is a current non-tobacco user 768 768 $0.00
3048F 471 447 $0.00
90620 461 460 $0.00
94760 145 136 $0.00
1000F 645 645 $0.00
S8110 Peak expiratory flow rate (physician services) 431 388 $0.00
90651 59 59 $0.00
G0008 Administration of influenza virus vaccine 35 35 $0.00
90619 17 17 $0.00
3074F 73 73 $0.00