Medicaid Provider Spending

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

HUDSON SHORES MEDICAL GROUP PLLC

NPI: 1205934148 · WATERVLIET, NY 12189 · Internal Medicine Physician · NPI assigned 09/21/2006

$183K
Total Medicaid Paid
9,057
Total Claims
8,558
Beneficiaries
20
Codes Billed
2018-01
First Month
2020-03
Last Month

Provider Details

Authorized OfficialB, RAM (PRESIDENT)
NPI Enumeration Date09/21/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,285 $74K
2019 5,086 $100K
2020 686 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,769 1,606 $89K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,080 1,030 $81K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 61 60 $5K
90674 135 135 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 127 127 $2K
90682 33 33 $2K
G0444 Annual depression screening, 5 to 15 minutes 13 13 $72.06
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,063 1,020 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 103 99 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 835 796 $0.00
1157F 485 457 $0.00
3074F 465 439 $0.00
1101F 34 32 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,329 1,275 $0.00
1159F 205 198 $0.00
4004F 99 95 $0.00
3078F 451 426 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 516 473 $0.00
1160F 207 200 $0.00
1158F 47 44 $0.00