Medicaid Provider Spending

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

ST MARYS INTERNAL MEDICINE PC

NPI: 1194270413 · PEABODY, MA 01960 · Primary Care Clinic/Center · NPI assigned 08/16/2016

$76K
Total Medicaid Paid
1,340
Total Claims
1,300
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHAHN, SUNGSIK (PRESIDENT)
NPI Enumeration Date08/16/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 248 $12K
2019 212 $9K
2020 134 $8K
2021 228 $13K
2022 205 $14K
2023 190 $12K
2024 123 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,196 1,163 $74K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12 12 $605.69
90686 42 41 $520.60
90674 36 36 $502.63
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 24 24 $429.45
90688 13 12 $190.70
90756 17 12 $159.53