Medicaid Provider Spending

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

TERRE HAUTE MEDICAL CORPORATION, PC

NPI: 1194853804 · TERRE HAUTE, IN 47802 · Internal Medicine Physician · NPI assigned 03/02/2007

$528K
Total Medicaid Paid
34,623
Total Claims
29,858
Beneficiaries
43
Codes Billed
2018-01
First Month
2021-06
Last Month

Provider Details

Authorized OfficialTON, ALEXANDER (OWNER)
NPI Enumeration Date03/02/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,131 $119K
2019 11,147 $177K
2020 7,915 $142K
2021 3,430 $89K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,630 5,720 $241K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,779 4,867 $203K
99215 Prolong outpt/office vis 671 548 $23K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 225 179 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 142 119 $7K
99406 1,935 1,629 $5K
36415 Collection of venous blood by venipuncture 3,605 3,202 $5K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 209 187 $4K
90674 406 388 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 404 359 $4K
80305 675 581 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 155 116 $3K
90686 256 222 $3K
80061 Lipid panel 330 303 $2K
80050 General health panel 83 79 $2K
83036 Hemoglobin; glycosylated (A1C) 322 297 $2K
81002 1,209 1,008 $1K
82962 1,004 862 $1K
84439 244 218 $877.60
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 33 30 $835.32
99422 98 73 $738.33
99442 158 94 $598.63
99443 74 44 $568.84
71046 Radiologic examination, chest; 2 views 16 16 $341.32
80053 Comprehensive metabolic panel 45 45 $333.70
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 30 27 $199.98
87081 15 14 $49.71
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,768 3,235 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 1,313 1,139 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 878 785 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,850 1,601 $0.00
4004F 478 440 $0.00
99173 85 79 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 29 27 $0.00
3288F 12 12 $0.00
G8482 Influenza immunization administered or previously received 147 144 $0.00
G0444 Annual depression screening, 5 to 15 minutes 14 14 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,053 929 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 13 13 $0.00
G0008 Administration of influenza virus vaccine 166 164 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 12 12 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 13 13 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 39 24 $0.00