Medicaid Provider Spending

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

COMPASSIONATE MEDICAL CARE PLLC

NPI: 1174900948 · BRONX, NY 10460 · Internal Medicine Physician · NPI assigned 04/30/2015

$67K
Total Medicaid Paid
38,563
Total Claims
33,761
Beneficiaries
65
Codes Billed
2018-03
First Month
2024-09
Last Month

Provider Details

Authorized OfficialSIMO, ROSMERY (PHYSICIAN/OWNER)
NPI Enumeration Date04/30/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,803 $11K
2019 11,917 $15K
2020 8,459 $9K
2021 666 $717.96
2022 1,429 $350.20
2023 10,608 $24K
2024 2,681 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,090 1,911 $23K
99497 345 344 $18K
93000 343 343 $4K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 399 375 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 127 127 $4K
G0444 Annual depression screening, 5 to 15 minutes 397 373 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 33 33 $2K
3078F 1,282 1,110 $2K
3074F 1,259 1,087 $1K
94010 42 42 $1K
99441 101 78 $1K
H0001 Alcohol and/or drug assessment 2,929 2,483 $1K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,411 1,199 $984.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 404 374 $774.67
81005 372 352 $579.32
36415 Collection of venous blood by venipuncture 1,435 1,394 $379.18
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,458 1,999 $302.00
80053 Comprehensive metabolic panel 535 531 $301.19
1126F 546 476 $154.00
1159F 1,460 1,271 $125.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 19 19 $110.24
1160F 1,461 1,272 $87.50
3075F 57 54 $70.00
1125F 173 147 $55.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 66 64 $46.65
97803 160 135 $34.90
0521F 133 113 $30.00
3079F 41 38 $25.00
82272 26 26 $14.52
82962 83 66 $12.30
3044F 39 32 $10.00
80069 13 13 $8.25
3008F 1,820 1,520 $0.21
G9820 Documentation of a chlamydia screening test with proper follow-up 95 94 $0.03
3725F 1,432 1,147 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 979 933 $0.00
1158F 182 182 $0.00
3016F 1,226 956 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 611 550 $0.00
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg 639 534 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 516 427 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 41 36 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 80 79 $0.00
G8477 Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg 28 25 $0.00
1033F 229 227 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 14 14 $0.00
94016 12 12 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 70 52 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 30 25 $0.00
2022F 12 12 $0.00
82565 13 13 $0.00
3011F 256 255 $0.00
1157F 182 182 $0.00
2010F 1,903 1,601 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,049 995 $0.00
2001F 1,907 1,604 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 1,719 1,511 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 707 631 $0.00
2000F 555 544 $0.00
1000F 1,849 1,554 $0.00
1036F 27 25 $0.00
2023F 12 12 $0.00
0001F 59 59 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 56 55 $0.00
G9228 Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings) 14 14 $0.00