Medicaid Provider Spending

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

FAIRGROUNDS FAMILY PHYSICIANS PLLC

NPI: 1174690440 · MANLIUS, NY 13104 · Family Medicine Physician · NPI assigned 11/29/2006

$3K
Total Medicaid Paid
63
Total Claims
63
Beneficiaries
4
Codes Billed
2020-10
First Month
2022-11
Last Month

Provider Details

Authorized OfficialKAPLAN, PHILIP (MEMBER)
NPI Enumeration Date11/29/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 36 $316.22
2022 27 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15 15 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12 12 $853.59
90460 Immunization administration through 18 years of age via any route, first or only component 20 20 $316.20
90686 16 16 $0.02