Medicaid Provider Spending

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

PEARLAND DIAGNOSTIC CLINIC, PA

NPI: 1194970756 · PEARLAND, TX 77581 · Primary Care Clinic/Center · NPI assigned 11/24/2008

$558.65
Total Medicaid Paid
1,187
Total Claims
1,080
Beneficiaries
11
Codes Billed
2018-02
First Month
2024-08
Last Month

Provider Details

Authorized OfficialROOSTH, JOSEPH (OWNER)
NPI Enumeration Date11/24/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 99 $41.90
2019 12 $0.00
2020 99 $0.00
2021 373 $361.13
2022 124 $0.00
2023 316 $155.62
2024 164 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 72 55 $456.01
86580 31 30 $32.78
90674 31 31 $30.33
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 36 36 $21.60
90686 32 32 $17.93
1036F 400 352 $0.00
G0008 Administration of influenza virus vaccine 39 39 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 45 45 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 72 66 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 365 336 $0.00
G8482 Influenza immunization administered or previously received 64 58 $0.00