Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › CAMBRIDGE › SUPERIOR MED LLC

SUPERIOR MED LLC

NPI: 1225080591 · CAMBRIDGE, OH 43725 · General Practice Physician · NPI assigned 05/16/2006

$2.01M
Total Medicaid Paid
79,037
Total Claims
64,716
Beneficiaries
73
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialJEVAS, TOM (PRACTICE ADMINISTRATOR)
NPI Enumeration Date05/16/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,928 $415K
2019 19,189 $502K
2020 15,393 $408K
2021 14,302 $347K
2022 8,236 $202K
2023 5,989 $138K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,120 22,527 $799K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,837 7,927 $394K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,967 3,741 $176K
90460 Immunization administration through 18 years of age via any route, first or only component 9,934 3,841 $153K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,143 2,040 $112K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,752 1,730 $102K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 643 600 $42K
20610 1,200 966 $40K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 645 639 $38K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,816 1,523 $32K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 2,039 897 $20K
11721 1,898 1,673 $17K
73630 531 379 $9K
95810 Polysomnography; sleep staging with 4 or more additional parameters 118 111 $6K
20611 187 137 $6K
94060 522 471 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 89 86 $6K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 273 236 $4K
99205 Prolong outpt/office vis 58 53 $4K
99460 50 50 $4K
90670 1,501 1,478 $4K
81003 2,129 1,991 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,272 1,129 $3K
92551 537 516 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 242 238 $3K
73560 138 102 $2K
99173 762 746 $2K
97597 226 113 $2K
95811 28 27 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 78 77 $1K
99406 221 211 $1K
82570 320 292 $1K
90686 612 601 $1K
94750 259 233 $1K
90688 188 186 $1K
99382 14 14 $1K
36415 Collection of venous blood by venipuncture 670 623 $999.33
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 56 54 $713.40
96127 192 169 $709.21
94726 259 232 $665.67
99238 Hospital discharge day management, 30 minutes or less 26 25 $655.79
90647 1,241 1,220 $654.92
94729 259 232 $648.28
31575 13 12 $536.15
11056 29 25 $456.48
90723 880 867 $452.04
99441 61 57 $431.14
73565 31 29 $410.62
99223 Prolong inpt eval add15 m 14 12 $403.40
90680 849 836 $392.01
73130 18 14 $315.92
73564 15 12 $296.80
73100 17 13 $246.18
90651 26 26 $232.01
90707 156 152 $223.05
93000 14 13 $203.99
99490 Ccm add 20min 16 16 $176.33
51798 12 12 $99.03
36416 26 25 $79.53
90716 155 151 $79.41
90633 345 339 $77.90
81002 42 39 $70.54
85018 28 28 $55.78
90685 64 64 $10.00
82962 13 13 $5.06
90697 135 133 $0.22
90734 14 14 $0.00
3078F 40 39 $0.00
90461 36 26 $0.00
90715 13 12 $0.00
99024 1,841 1,523 $0.00
3074F 69 65 $0.00
G0008 Administration of influenza virus vaccine 13 13 $0.00