Medicaid Provider Spending

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

GUO, KEVIN

NPI: 1205928694 · NEW YORK, NY 10013 · Internal Medicine Physician · NPI assigned 09/29/2006

$4.26M
Total Medicaid Paid
176,565
Total Claims
166,515
Beneficiaries
87
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 22,121 $620K
2019 27,535 $660K
2020 25,075 $658K
2021 35,521 $898K
2022 25,337 $576K
2023 22,204 $481K
2024 18,772 $366K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 37,788 29,652 $2.19M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,403 11,039 $906K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 3,332 3,332 $429K
99490 Ccm add 20min 10,040 10,034 $144K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,850 2,652 $100K
93000 7,208 7,195 $77K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,008 3,904 $66K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 3,692 3,681 $47K
99497 1,343 1,340 $45K
83013 839 839 $41K
90686 2,896 2,891 $34K
H0049 Alcohol and/or drug screening 1,173 1,171 $20K
90688 1,538 1,530 $20K
94010 884 884 $17K
H0001 Alcohol and/or drug assessment 2,165 2,152 $17K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 134 134 $16K
99406 1,337 1,325 $16K
99051 1,788 1,566 $12K
90715 301 297 $9K
83014 1,529 1,528 $8K
36415 Collection of venous blood by venipuncture 5,738 5,709 $7K
99441 227 217 $6K
90707 71 71 $6K
90656 535 535 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 576 568 $3K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 317 317 $3K
99439 410 409 $3K
3074F 2,846 2,784 $1K
3078F 3,502 3,424 $1K
G8420 Bmi is documented within normal parameters and no follow-up plan is required 5,849 5,725 $1K
99442 32 31 $938.22
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 2,945 2,883 $777.00
90677 131 131 $652.37
90746 25 25 $528.31
3075F 1,053 1,043 $508.53
3079F 379 376 $299.01
G0008 Administration of influenza virus vaccine 1,979 1,970 $294.47
90472 Immunization administration, each additional vaccine (list separately) 18 17 $268.47
97802 267 265 $232.16
G0444 Annual depression screening, 5 to 15 minutes 170 169 $153.30
G0442 Annual alcohol misuse screening, 5 to 15 minutes 663 662 $147.65
1126F 1,410 1,410 $141.00
99397 52 52 $140.60
3044F 965 953 $98.00
99072 430 366 $86.25
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 190 190 $64.59
3048F 2,688 2,671 $49.00
A4556 Electrodes, (e.g., apnea monitor), per pair 2,397 2,394 $43.74
3051F 178 177 $40.00
2023F 74 72 $20.00
1158F 360 360 $18.00
G0009 Administration of pneumococcal vaccine 179 179 $17.42
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 16 16 $11.31
3077F 12 12 $2.50
1160F 14 14 $1.72
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 3,415 3,403 $0.74
G9275 Documentation that patient is a current non-tobacco user 2,967 2,950 $0.48
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 4,832 4,766 $0.25
G9276 Documentation that patient is a current tobacco user 926 916 $0.09
3008F 7,777 7,594 $0.08
3049F 466 464 $0.02
90750 313 303 $0.01
1036F 2,011 2,002 $0.01
1000F 3,337 3,319 $0.01
3725F 2,157 2,152 $0.00
G8598 Aspirin or another antiplatelet therapy used 2,612 2,584 $0.00
3016F 2,437 2,434 $0.00
1032F 514 512 $0.00
4013F 449 444 $0.00
2014F 2,525 2,512 $0.00
1124F 367 365 $0.00
3045F 62 61 $0.00
99358 Prolong nursin fac eval 15m 19 19 $0.00
1159F 14 14 $0.00
90679 27 27 $0.00
J0897 Injection, denosumab, 1 mg 14 13 $0.00
1220F 2,416 2,409 $0.00
1022F 177 177 $0.00
3017F 2,132 2,101 $0.00
3014F 1,239 1,224 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 28 27 $0.00
3061F 172 171 $0.00
1170F 18 16 $0.00
1030F 88 86 $0.00
90732 17 17 $0.00
1125F 79 78 $0.00
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). 12 12 $0.00