Medicaid Provider Spending

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

JAISWAL CLINIC PLLC

NPI: 1225296361 · DURANT, OK 74701 · Internal Medicine Physician · NPI assigned 05/27/2008

$118K
Total Medicaid Paid
9,512
Total Claims
8,782
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJAISWAL, DEEPAK (OWNER)
NPI Enumeration Date05/27/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,736 $16K
2019 1,469 $13K
2020 1,373 $15K
2021 1,210 $19K
2022 1,314 $21K
2023 1,116 $15K
2024 1,294 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,907 1,735 $57K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,208 2,075 $48K
99490 Ccm add 20min 1,739 1,739 $9K
96160 3,488 3,070 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 18 18 $915.13
80305 65 64 $485.44
99308 Subsequent nursing facility care, per day, straightforward 13 13 $354.62
99406 31 25 $353.56
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). 28 28 $91.68
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 15 $34.63