Medicaid Provider Spending

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

STALLAMB P.L.L.C.

NPI: 1245329176 · SCOTT DEPOT, WV 25560 · Pediatric Adolescent Medicine Physician · NPI assigned 10/11/2006

$109K
Total Medicaid Paid
2,786
Total Claims
2,646
Beneficiaries
15
Codes Billed
2018-01
First Month
2019-11
Last Month

Provider Details

Authorized OfficialHOPE, RITA (OFFICE MANAGER)
NPI Enumeration Date10/11/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,852 $73K
2019 934 $36K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 942 866 $47K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 553 519 $38K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 453 442 $9K
90472 Immunization administration, each additional vaccine (list separately) 99 96 $3K
4019F 171 167 $2K
92551 71 71 $2K
90686 110 110 $2K
3008F 161 157 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 33 32 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 26 25 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 27 25 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12 12 $491.19
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14 13 $233.91
90688 102 99 $186.87
1036F 12 12 $0.00