Medicaid Provider Spending

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

FROMMER, JAMES

NPI: 1235137746 · DUNCANSVILLE, PA 16635 · Family Medicine Physician · NPI assigned 07/08/2005

Deactivated NPI · This NPI was deactivated on 03/15/2006. Reactivated 03/29/2006.
$337K
Total Medicaid Paid
5,818
Total Claims
5,263
Beneficiaries
16
Codes Billed
2018-01
First Month
2023-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,982 $132K
2019 3,031 $176K
2020 254 $13K
2021 471 $11K
2022 30 $2K
2023 50 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 2,393 2,074 $318K
99215 Prolong outpt/office vis 138 124 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 520 499 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,508 1,354 $4K
3078F 269 249 $0.00
G0444 Annual depression screening, 5 to 15 minutes 384 380 $0.00
99173 18 18 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 61 58 $0.00
81002 19 19 $0.00
36415 Collection of venous blood by venipuncture 364 354 $0.00
3074F 56 52 $0.00
92551 16 16 $0.00
99406 16 15 $0.00
4010F 25 24 $0.00
3079F 14 13 $0.00
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 17 14 $0.00