Medicaid Provider Spending

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

FORTES, PHILOMENE

NPI: 1235568171 · PAWTUCKET, RI 02860 · Family Nurse Practitioner · NPI assigned 11/01/2013

$52K
Total Medicaid Paid
1,517
Total Claims
1,457
Beneficiaries
13
Codes Billed
2018-03
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 170 $7K
2022 517 $15K
2023 505 $19K
2024 325 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80061 Lipid panel 470 465 $16K
83036 Hemoglobin; glycosylated (A1C) 320 316 $8K
84443 Thyroid stimulating hormone (TSH) 129 128 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 110 84 $5K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 36 36 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 73 56 $3K
80053 Comprehensive metabolic panel 126 124 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 24 24 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 25 24 $2K
80048 Basic metabolic panel (calcium, ionized) 81 80 $2K
85027 97 96 $2K
87522 Neg quan hep c or qual rna 14 12 $1K
36415 Collection of venous blood by venipuncture 12 12 $256.74