Medicaid Provider Spending

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

THE WESTCHESTER MEDICAL PRACTICE, PC

NPI: 1225222953 · YORKTOWN HEIGHTS, NY 10598 · Specialist · NPI assigned 09/06/2007

$3.68M
Total Medicaid Paid
56,764
Total Claims
53,499
Beneficiaries
54
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHIGGINS, WILLIAM (MEDICAL DIRECTOR)
NPI Enumeration Date09/06/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,864 $215K
2019 5,880 $375K
2020 6,157 $377K
2021 8,584 $648K
2022 10,992 $735K
2023 12,409 $771K
2024 9,878 $554K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,699 11,069 $1.48M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,865 14,724 $1.45M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,287 1,268 $243K
90460 Immunization administration through 18 years of age via any route, first or only component 3,704 3,685 $96K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5,637 5,004 $49K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 340 338 $43K
92025 1,044 1,043 $41K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,430 2,335 $38K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 258 257 $33K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 176 176 $22K
36415 Collection of venous blood by venipuncture 8,468 8,180 $20K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 308 296 $18K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 116 115 $13K
92083 160 159 $11K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 81 81 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 615 402 $10K
99232 Subsequent hospital care, per day, moderate complexity 108 29 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 627 617 $8K
93000 423 421 $8K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 294 287 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 51 51 $7K
99215 Prolong outpt/office vis 39 29 $6K
99223 Prolong inpt eval add15 m 30 20 $6K
92133 118 118 $5K
87081 630 591 $4K
92202 223 222 $4K
20611 30 26 $3K
99233 Prolong inpt eval add15 m 34 13 $3K
92250 65 65 $3K
99239 Hospital discharge day management, more than 30 minutes 25 25 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 17 16 $3K
99336 137 127 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 14 14 $2K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 12 12 $2K
92020 61 61 $2K
99222 Initial hospital care, per day, moderate complexity 12 12 $2K
90472 Immunization administration, each additional vaccine (list separately) 81 81 $1K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 85 85 $1K
90686 536 535 $1K
90674 40 40 $1K
81002 297 287 $1K
95816 15 15 $937.07
99459 28 28 $664.33
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 26 26 $587.07
81003 285 282 $480.02
90461 14 14 $377.09
51798 24 24 $310.43
90756 12 12 $285.18
88738 29 29 $117.79
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 14 13 $82.56
90656 71 71 $22.35
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 24 24 $1.94
94760 27 27 $0.00
99000 18 18 $0.00