Medicaid Provider Spending

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

1205191418

NPI: 1205191418

Deactivated NPI · This NPI was deactivated on 08/08/2024.
$22K
Total Medicaid Paid
574
Total Claims
523
Beneficiaries
11
Codes Billed
2018-02
First Month
2022-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 136 $652.30
2019 12 $33.49
2020 56 $2K
2021 169 $9K
2022 201 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 355 315 $18K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 27 27 $3K
93000 76 70 $476.44
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17 12 $328.70
G8442 Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter 15 15 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 15 15 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 15 15 $0.00
G8432 Depression screening not documented, reason not given 13 13 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 13 13 $0.00
1036F 14 14 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 14 14 $0.00