Medicaid Provider Spending

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

1205983202

NPI: 1205983202

Deactivated NPI · This NPI was deactivated on 07/12/2023.
$330K
Total Medicaid Paid
18,607
Total Claims
12,267
Beneficiaries
36
Codes Billed
2018-01
First Month
2023-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,840 $100K
2019 5,770 $132K
2020 2,393 $22K
2021 2,650 $34K
2022 1,582 $29K
2023 372 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99444 3,474 963 $199K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,329 2,945 $71K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,319 2,152 $38K
99421 1,019 364 $9K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,097 359 $5K
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 1,651 1,650 $3K
93000 335 318 $1K
99222 Initial hospital care, per day, moderate complexity 300 293 $1K
99238 Hospital discharge day management, 30 minutes or less 424 399 $705.84
99091 35 35 $386.75
99232 Subsequent hospital care, per day, moderate complexity 685 93 $295.69
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16 16 $180.78
99496 13 13 $168.36
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 175 175 $164.73
90674 47 47 $22.66
J0696 Injection, ceftriaxone sodium, per 250 mg 13 13 $9.95
81002 27 25 $5.84
82962 1,044 953 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 54 54 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 445 429 $0.00
1101F 92 92 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 13 13 $0.00
99458 38 38 $0.00
99457 127 125 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 78 78 $0.00
1036F 86 86 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 155 146 $0.00
99454 50 49 $0.00
G0008 Administration of influenza virus vaccine 120 83 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 26 26 $0.00
99233 Prolong inpt eval add15 m 88 16 $0.00
77080 12 12 $0.00
3288F 91 91 $0.00
G8598 Aspirin or another antiplatelet therapy used 44 44 $0.00
90756 53 47 $0.00
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) 32 25 $0.00