Medicaid Provider Spending

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

BLACKSTONE VALLEY PEDIATRICS

NPI: 1225227200 · CUMBERLAND, RI 02864 · Pediatrics Physician · NPI assigned 10/16/2007

$221K
Total Medicaid Paid
4,673
Total Claims
4,391
Beneficiaries
8
Codes Billed
2021-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEE, ALEXANDER (VICE PRESIDENT)
NPI Enumeration Date10/16/2007

Related Entities

Other providers sharing the same authorized official: LEE, ALEXANDER

ProviderCityStateTotal Paid
MAI AND LEE DENTAL CORPORATION GARDENA CA $505K
ZEN ANESTHESIA, LLC LAS VEGAS NV $232K
ADVANCED DENTAL SPECIALTY GROUP ENGLEWOOD CLIFFS NJ $113K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 17 $238.54
2022 839 $38K
2023 2,147 $105K
2024 1,670 $77K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,598 1,494 $141K
90460 Immunization administration through 18 years of age via any route, first or only component 1,405 1,355 $26K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 186 182 $19K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 114 113 $12K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,118 1,002 $12K
90461 188 182 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 24 24 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 40 39 $969.99