Medicaid Provider Spending

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

GILBERT, GEORGE

NPI: 1215021100 · PEORIA, IL 61604 · Addiction Medicine (Family Medicine) Physician · NPI assigned 10/03/2006

$490K
Total Medicaid Paid
16,771
Total Claims
14,624
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,019 $97K
2019 3,571 $88K
2020 2,531 $67K
2021 1,608 $71K
2022 1,326 $63K
2023 3,241 $49K
2024 1,475 $55K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 3,346 2,950 $238K
99213 3,123 2,694 $129K
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 712 550 $31K
80305 3,548 3,126 $29K
96127 2,086 1,827 $27K
99215 Prolong outpt/office vis 340 299 $25K
99406 889 761 $6K
99407 218 201 $3K
99253 12 12 $557.40
99211 15 14 $176.42
81002 54 50 $132.60
81003 41 38 $80.45
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 385 329 $3.58
G8510 Screening for depression is documented as negative, a follow-up plan is not required 136 126 $1.28
G8752 Most recent systolic blood pressure < 140 mmhg 175 154 $0.00
1160F 342 288 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 26 24 $0.00
3078F 73 68 $0.00
1159F 217 189 $0.00
G0444 Annual depression screening, 5 to 15 minutes 16 15 $0.00
3077F 15 14 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 53 42 $0.00
3079F 66 61 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 186 162 $0.00
1034F 119 110 $0.00
3008F 393 356 $0.00
3074F 125 110 $0.00
1036F 15 12 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 28 28 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 17 14 $0.00