Medicaid Provider Spending

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

LICKING VALLEY INTERNAL MEDICINE & PEDIATRICS PSC

NPI: 1225136153 · CYNTHIANA, KY 41031 · Pediatrics Physician · NPI assigned 09/21/2006

$1.50M
Total Medicaid Paid
44,807
Total Claims
38,539
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCKEMIE, WILLIAM (PRESIDENT)
NPI Enumeration Date09/21/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,354 $131K
2019 4,977 $152K
2020 3,791 $128K
2021 6,188 $297K
2022 9,032 $244K
2023 8,860 $275K
2024 7,605 $268K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24,362 20,658 $922K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,781 4,963 $304K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,492 1,351 $94K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 657 645 $49K
90460 Immunization administration through 18 years of age via any route, first or only component 1,375 1,328 $32K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,592 1,478 $17K
90461 814 794 $17K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 453 408 $16K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 105 102 $12K
99308 Subsequent nursing facility care, per day, straightforward 3,854 2,939 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 403 289 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 49 41 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 24 24 $3K
99188 127 125 $2K
90671 484 474 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 75 50 $1K
99173 13 12 $615.90
99307 380 303 $589.14
90697 303 297 $400.86
99460 19 15 $322.85
99318 33 31 $111.76
90681 123 118 $107.71
90633 95 93 $89.50
90686 127 126 $67.43
90670 170 159 $1.48
90698 113 106 $1.03
90744 47 44 $0.43
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,577 1,415 $0.01
99072 88 84 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 59 55 $0.00
1036F 13 12 $0.00