Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Spirko, Blake

Spirko, Blake was paid $467K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 71% of everything it billed.

33Billing provider infoSPIRKO, BLAKE
SPRINGFIELD, MA 01199
33aNPI1174623276assigned 09/25/2006
28Total paid$467K
24GClaims5,647
24DCodes billed3
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Massachusetts

Rank by total paid#34 of 618
Median peer was paid$8K
This provider vs. median57×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018932$82K
20191,043$85K
2020587$53K
2021731$57K
20221,011$85K
2023712$59K
2024incomplete631$47K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 71% 3,693 3,660 $331K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 15% 1,451 1,449 $71K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 14% 503 502 $66K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.