Medicaid Provider Spending

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

EAST BERNSTADT MEDICAL CLINIC PLLC

NPI: 1245299585 · LONDON, KY 40741 · Family Medicine Physician · NPI assigned 03/23/2006

$830K
Total Medicaid Paid
70,736
Total Claims
45,174
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOHNSON, CARLA (BILLING/CREDENTIALING CLERK)
NPI Enumeration Date03/23/2006

Related Entities

Other providers sharing the same authorized official: JOHNSON, CARLA

ProviderCityStateTotal Paid
ANNVILLE-KY ADULT DAYCARE, LLC ANNVILLE KY $8.83M
IREDELL PHYSICIAN NETWORK LLC STATESVILLE NC $2.31M
EAST BERNSTADT MEDICAL CLINIC PLLC ANNVILLE KY $1.36M
EAST BERNSTADT MEDICAL CLINIC PLLC MANCHESTER KY $874K
EAST BERNSTADT MEDICAL CLINIC PLLC MCKEE KY $825K
IREDELL PHYSICIAN NETWORK LLC STATESVILLE NC $772.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,798 $101K
2019 5,086 $104K
2020 15,658 $164K
2021 15,322 $154K
2022 13,003 $123K
2023 8,268 $101K
2024 6,601 $83K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40,121 26,046 $712K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 9,395 4,869 $61K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,294 864 $21K
36415 Collection of venous blood by venipuncture 8,557 5,809 $15K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 127 82 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 772 522 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 571 214 $4K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 500 290 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 211 132 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,389 1,589 $785.59
90756 100 55 $626.37
99072 525 203 $400.00
99441 36 17 $349.08
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 58 29 $322.87
99308 Subsequent nursing facility care, per day, straightforward 29 17 $253.14
J0696 Injection, ceftriaxone sodium, per 250 mg 131 70 $227.07
81001 249 161 $183.63
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 17 13 $81.52
81000 31 25 $22.09
99000 410 244 $15.00
G0008 Administration of influenza virus vaccine 16 14 $3.94
3008F 1,060 816 $1.86
3074F 602 445 $1.81
3078F 473 353 $1.49
3079F 276 201 $0.68
1126F 69 56 $0.44
3075F 98 67 $0.30
1159F 880 664 $0.22
1160F 907 700 $0.22
3077F 98 63 $0.19
1125F 14 14 $0.14
1170F 66 45 $0.09
3080F 34 18 $0.08
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 349 215 $0.00
888888 271 252 $0.00