Medicaid Provider Spending

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

PINE MOUNTAIN CLINIC PSC

NPI: 1205054327 · PINEVILLE, KY 40977 · Internal Medicine Physician · NPI assigned 04/23/2007

$1.16M
Total Medicaid Paid
52,042
Total Claims
45,027
Beneficiaries
39
Codes Billed
2018-01
First Month
2023-09
Last Month

Provider Details

Authorized OfficialMOHAN, MADHAN (OWNER)
NPI Enumeration Date04/23/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,082 $361K
2019 14,236 $313K
2020 11,404 $255K
2021 5,002 $107K
2022 3,746 $85K
2023 1,572 $39K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,200 19,651 $673K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,768 4,087 $186K
99442 1,238 1,147 $42K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5,187 3,718 $33K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,480 1,371 $26K
99232 Subsequent hospital care, per day, moderate complexity 1,215 548 $26K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 234 206 $20K
99238 Hospital discharge day management, 30 minutes or less 620 513 $16K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 421 365 $15K
93000 825 787 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 458 424 $12K
82947 5,065 4,638 $12K
99309 Subsequent nursing facility care, per day, low to moderate complexity 294 285 $12K
83036 Hemoglobin; glycosylated (A1C) 1,569 1,475 $10K
87428 174 152 $10K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 756 635 $9K
80305 959 920 $8K
99222 Initial hospital care, per day, moderate complexity 165 132 $6K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 278 239 $5K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 526 475 $4K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 80 61 $4K
99233 Prolong inpt eval add15 m 95 40 $2K
99223 Prolong inpt eval add15 m 45 41 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,041 969 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 34 33 $2K
99406 181 168 $1K
82044 384 354 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 975 924 $1K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 102 43 $977.32
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 306 290 $663.83
99318 15 14 $650.00
82274 47 42 $544.78
99308 Subsequent nursing facility care, per day, straightforward 14 14 $448.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 45 41 $422.91
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 15 12 $309.97
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 14 14 $250.38
81003 162 149 $79.37
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 20 19 $64.74
99000 35 31 $3.12