Medicaid Provider Spending

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

1205189446

NPI: 1205189446

Deactivated NPI · This NPI was deactivated on 10/02/2024.
$2.19M
Total Medicaid Paid
50,357
Total Claims
44,187
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,688 $780K
2019 11,918 $509K
2020 7,399 $279K
2021 6,497 $237K
2022 5,906 $193K
2023 4,765 $158K
2024 1,184 $36K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 4,001 3,251 $562K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 12,695 11,185 $538K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,714 16,132 $439K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 3,646 3,376 $260K
99490 Ccm add 20min 4,576 4,413 $93K
62323 621 514 $73K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,110 988 $62K
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 440 409 $54K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 1,452 1,201 $26K
99439 681 662 $15K
77002 359 260 $10K
J3300 Injection, triamcinolone acetonide, preservative free, 1 mg 48 44 $9K
20610 197 147 $6K
64493 80 62 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 45 40 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 495 390 $3K
64635 12 12 $3K
64494 70 60 $3K
64495 71 60 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 89 84 $3K
82670 89 84 $2K
62321 16 12 $2K
64636 12 12 $2K
84403 89 84 $2K
82626 89 84 $2K
84270 89 84 $2K
84144 89 84 $2K
83001 89 84 $2K
83002 89 84 $2K
82533 89 84 $1K
82607 89 84 $1K
99491 Ccm add 20min 27 27 $1K
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 99 90 $176.22