Medicaid Provider Spending

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

ALEJANDRO PLA MD PA

NPI: 1245550102 · HIALEAH, FL 33013 · Nephrology Physician · NPI assigned 06/02/2010

$60K
Total Medicaid Paid
5,168
Total Claims
2,733
Beneficiaries
13
Codes Billed
2018-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPLA, ALEJANDRO (PRESIDENT)
NPI Enumeration Date06/02/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 130 $182.45
2019 293 $4K
2020 576 $5K
2021 521 $6K
2022 651 $8K
2023 1,768 $21K
2024 1,229 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,946 1,511 $32K
99233 Prolong inpt eval add15 m 1,445 219 $15K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 72 56 $4K
90966 235 175 $3K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 84 63 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 257 122 $1K
99223 Prolong inpt eval add15 m 28 14 $608.67
99305 55 44 $352.91
99308 Subsequent nursing facility care, per day, straightforward 42 14 $121.84
90970 303 13 $64.88
99423 45 30 $63.20
G2252 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; 11-20 minutes of medical discussion 415 292 $16.74
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 241 180 $0.00