Medicaid Provider Spending

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

SOMERSET MEDICAL GROUP PLLC

NPI: 1235242223 · SOMERSET, KY 42503 · Physician Assistant · NPI assigned 08/16/2006

$516K
Total Medicaid Paid
29,787
Total Claims
9,487
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCHERRY, DONALD (OWNER)
NPI Enumeration Date08/16/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,147 $42K
2019 1,583 $30K
2020 1,269 $26K
2021 8,994 $112K
2022 6,788 $140K
2023 6,136 $97K
2024 2,870 $69K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 17,170 2,049 $266K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,559 2,212 $84K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,773 133 $38K
99232 Subsequent hospital care, per day, moderate complexity 2,455 381 $31K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 907 754 $30K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 296 258 $16K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 566 466 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 748 350 $9K
99443 84 70 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 199 193 $3K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 122 96 $3K
84443 Thyroid stimulating hormone (TSH) 243 235 $2K
71046 Radiologic examination, chest; 2 views 136 115 $2K
99441 66 51 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 211 122 $2K
99490 Ccm add 20min 335 248 $2K
80061 Lipid panel 227 221 $2K
99223 Prolong inpt eval add15 m 36 26 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 325 315 $1K
36415 Collection of venous blood by venipuncture 429 411 $1K
99239 Hospital discharge day management, more than 30 minutes 44 24 $929.39
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 17 16 $875.56
99442 15 14 $872.30
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 43 34 $870.24
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 48 45 $753.04
80048 Basic metabolic panel (calcium, ionized) 127 124 $507.83
80076 83 81 $349.97
84439 67 65 $314.59
83036 Hemoglobin; glycosylated (A1C) 13 12 $58.65
80053 Comprehensive metabolic panel 12 12 $52.94
96127 15 13 $46.32
81002 45 42 $17.68
J1100 Injection, dexamethasone sodium phosphate, 1 mg 14 14 $12.36
99000 23 22 $0.00
888888 83 80 $0.00
99072 251 183 $0.00