Medicaid Provider Spending

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

FAMILIES FIRST PEDIATRICS LLC

NPI: 1194863589 · SOUTH JORDAN, UT 84095 · Pediatric Adolescent Medicine Physician · NPI assigned 02/01/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COX, MATTHEW controls 20+ related entities in our dataset. Read more

$517K
Total Medicaid Paid
18,187
Total Claims
17,368
Beneficiaries
49
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOX, MATTHEW (OWNER)
Parent OrganizationFAMILIES FIRST PEDIATRICS
NPI Enumeration Date02/01/2007

Related Entities

Other providers sharing the same authorized official: COX, MATTHEW

ProviderCityStateTotal Paid
SPECTRUM HEALTH HOSPITALS GRAND RAPIDS MI $243.22M
OAKWOOD HEALTHCARE, INC. DEARBORN MI $165.61M
WILLIAM BEAUMONT HOSPITAL ROYAL OAK MI $162.64M
WILLIAM BEAUMONT HOSPITAL TROY MI $84.88M
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC SAINT JOSEPH MI $78.22M
BOTSFORD GENERAL HOSPITAL FARMINGTON HILLS MI $72.21M
WILLIAM BEAUMONT HOSPITAL GROSSE POINTE MI $61.49M
OAKWOOD HEALTHCARE, INC. WAYNE MI $55.44M
OAKWOOD HEALTHCARE, INC. TAYLOR MI $50.28M
OAKWOOD HEALTHCARE, INC. TRENTON MI $23.26M
SPECTRUM HEALTH UNITED GREENVILLE MI $20.99M
MECOSTA COUNTY MEDICAL CENTER BIG RAPIDS MI $19.50M
PENNOCK HOSPITAL HASTINGS MI $15.24M
REED CITY HOSPITAL CORPORATION REED CITY MI $15.02M
ZEELAND COMMUNITY HOSPITAL ZEELAND MI $10.12M
LAKELAND COMMUNITY HOSPITAL WATERVLIET WATERVLIET MI $9.85M
LAKELAND COMMUNITY HOSPITAL WATERVLIET NILES MI $9.05M
VISITING NURSE SERVICES OF WESTERN MICHIGAN GRAND RAPIDS MI $4.54M
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC BENTON HARBOR MI $3.33M
BANNER MESA SURGERY CENTER LLC MESA AZ $2.80M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 171 $4K
2019 424 $19K
2020 500 $19K
2021 1,593 $78K
2022 2,567 $124K
2023 5,935 $137K
2024 6,997 $136K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,308 3,032 $247K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,360 2,190 $137K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 848 781 $47K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,337 2,290 $20K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 592 585 $18K
90472 Immunization administration, each additional vaccine (list separately) 1,136 1,123 $10K
87428 136 130 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 215 212 $6K
99215 Prolong outpt/office vis 48 44 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 54 53 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 279 270 $3K
90474 302 300 $3K
99188 393 388 $2K
99381 31 30 $2K
99383 24 24 $1K
36416 601 528 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 68 66 $1K
99051 268 252 $963.92
90473 44 44 $822.12
90671 292 292 $637.25
96127 269 255 $590.66
99484 29 29 $442.58
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 184 172 $387.27
90680 329 327 $287.25
90723 442 441 $275.32
96161 402 394 $274.15
85018 84 83 $141.43
96110 Developmental screening, with scoring and documentation, per standardized instrument 28 28 $89.48
J8540 Dexamethasone, oral, 0.25 mg 37 36 $84.82
90656 89 89 $80.56
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 17 15 $62.70
90686 591 579 $52.26
90648 502 498 $36.92
90672 50 49 $0.09
90670 291 288 $0.02
90734 13 13 $0.01
90696 15 14 $0.00
87430 12 12 $0.00
90716 25 25 $0.00
91307 15 12 $0.00
90651 38 37 $0.00
99177 340 338 $0.00
99173 423 418 $0.00
90700 12 12 $0.00
90633 123 122 $0.00
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) 438 396 $0.00
90707 25 25 $0.00
80061 Lipid panel 14 14 $0.00
90710 14 13 $0.00