Medicaid Provider Spending

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

AMERICA CARES TRUST, INC

NPI: 1215364633 · NASHVILLE, TN 37217 · Pediatrics Physician · NPI assigned 09/30/2013

$9.12M
Total Medicaid Paid
444,830
Total Claims
279,458
Beneficiaries
105
Codes Billed
2018-01
First Month
2022-03
Last Month

Provider Details

Authorized OfficialGAW, MICHAEL (CHAIRMAN)
NPI Enumeration Date09/30/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 230,654 $4.80M
2019 82,802 $2.16M
2020 94,164 $1.54M
2021 32,834 $502K
2022 4,376 $110K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 70,018 50,977 $2.97M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 19,748 13,300 $1.29M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13,788 9,040 $979K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12,663 9,033 $818K
96160 64,072 36,800 $517K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,692 5,652 $480K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,859 4,833 $395K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 10,110 7,477 $271K
92551 37,339 24,406 $261K
96110 Developmental screening, with scoring and documentation, per standardized instrument 30,298 18,130 $230K
90460 Immunization administration through 18 years of age via any route, first or only component 10,116 6,790 $210K
96127 53,954 23,297 $170K
99173 41,644 27,701 $99K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,742 4,953 $50K
90837 Psychotherapy, 53 minutes with patient 550 359 $43K
92552 2,119 1,604 $41K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 661 410 $40K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,891 1,291 $25K
99384 259 214 $23K
99215 Prolong outpt/office vis 218 161 $18K
99383 253 195 $14K
99381 237 149 $12K
80061 Lipid panel 2,567 1,550 $12K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 211 25 $12K
90832 Psychotherapy, 30 minutes with patient 293 228 $11K
99239 Hospital discharge day management, more than 30 minutes 130 116 $10K
96161 1,507 937 $10K
81025 2,230 1,566 $10K
99460 107 96 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 735 528 $8K
90791 Psychiatric diagnostic evaluation 111 94 $8K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 194 191 $7K
36415 Collection of venous blood by venipuncture 5,360 3,284 $7K
90834 Psychotherapy, 45 minutes with patient 106 72 $5K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 27 17 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 90 71 $5K
99401 277 200 $5K
83655 725 465 $5K
95117 860 222 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 245 213 $4K
85018 2,555 1,668 $4K
36410 662 355 $4K
36416 4,811 3,111 $3K
69210 106 60 $3K
81002 1,338 903 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 566 339 $2K
99174 264 143 $2K
83036 Hemoglobin; glycosylated (A1C) 794 485 $2K
92567 134 110 $1K
99177 301 90 $1K
99402 62 32 $1K
92557 36 35 $1K
90853 Group psychotherapy (other than of a multiple-family group) 50 43 $1K
92587 40 38 $878.69
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 113 55 $767.14
99382 14 12 $690.94
99462 19 17 $673.83
92579 15 15 $510.07
90716 1,182 705 $414.21
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 719 483 $210.34
80050 General health panel 184 87 $209.00
90472 Immunization administration, each additional vaccine (list separately) 86 45 $179.84
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 476 302 $173.30
80053 Comprehensive metabolic panel 439 269 $169.02
82465 106 75 $168.85
87210 39 27 $128.78
84443 Thyroid stimulating hormone (TSH) 563 318 $116.80
87077 233 163 $112.43
81003 1,541 970 $108.59
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 24 15 $100.72
87040 14 14 $99.04
90680 1,053 618 $97.43
84439 434 248 $79.17
86592 277 167 $71.37
87088 26 12 $50.26
87220 15 12 $47.46
94760 15 13 $31.00
87070 58 54 $25.00
90744 663 392 $20.88
90461 5,477 3,196 $15.00
84436 61 46 $8.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 188 168 $7.94
86803 134 93 $0.56
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 136 93 $0.55
87632 77 64 $0.49
87086 Culture, bacterial; quantitative colony count, urine 53 43 $0.32
87650 98 79 $0.22
87081 39 38 $0.15
90656 14 14 $0.06
90707 1,179 704 $0.03
90734 610 320 $0.03
90651 1,355 804 $0.03
90686 462 418 $0.02
90688 457 416 $0.02
90696 380 186 $0.02
90698 1,384 837 $0.02
90670 2,215 1,390 $0.01
90687 164 146 $0.01
90715 258 119 $0.01
90648 271 117 $0.00
90700 249 97 $0.00
90633 1,218 734 $0.00
90685 103 92 $0.00
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 13 12 $0.00
90620 202 85 $0.00