Medicaid Provider Spending

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

HERDEGEN, JAMES

NPI: 1184737793 · CHICAGO, IL 60612 · Critical Care Medicine (Internal Medicine) Physician · NPI assigned 08/16/2006

$123K
Total Medicaid Paid
1,959
Total Claims
1,887
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 261 $19K
2019 377 $29K
2020 521 $34K
2021 322 $17K
2022 143 $8K
2023 186 $10K
2024 149 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,251 1,205 $79K
99244 Office or other outpatient consultation, moderate to high complexity 55 54 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 123 117 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 171 156 $8K
95810 Polysomnography; sleep staging with 4 or more additional parameters 119 117 $8K
95811 88 88 $5K
95800 103 102 $4K
95806 18 18 $868.29
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 31 30 $62.26