Medicaid Provider Spending

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

FREDERICK MEDICAL & PULMONARY ASSOC

NPI: 1184817512 · FREDERICK, MD 21704 · Specialist · NPI assigned 08/20/2007

$112K
Total Medicaid Paid
7,122
Total Claims
5,928
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWARAVDEKAR, NEIL (PRESIDENT)
NPI Enumeration Date08/20/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,519 $52K
2019 876 $18K
2020 1,193 $10K
2021 1,374 $12K
2022 1,135 $9K
2023 553 $7K
2024 472 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,585 1,437 $31K
94375 1,250 1,097 $29K
99232 Subsequent hospital care, per day, moderate complexity 185 55 $13K
99223 Prolong inpt eval add15 m 69 66 $11K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,624 1,977 $11K
99233 Prolong inpt eval add15 m 96 41 $10K
94010 137 136 $5K
G2065 Comprehensive care management for a single high-risk disease services, e.g. principal care management, at least 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities 94 90 $1K
99490 Ccm add 20min 555 554 $501.16
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) 13 13 $316.10
99426 470 419 $0.00
99424 44 43 $0.00