Medicaid Provider Spending

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

NPI: 1255307435 · GREENSBURG, PA 15601 · Emergency Medicine Physician · NPI assigned 02/27/2006

$187K
Total Medicaid Paid
3,818
Total Claims
3,768
Beneficiaries
4
Codes Billed
2020-10
First Month
2023-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 197 $8K
2021 1,247 $48K
2022 1,258 $50K
2023 1,116 $81K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,550 1,526 $100K
99284 Emergency department visit for the evaluation and management, high severity 967 959 $60K
99283 Emergency department visit for the evaluation and management, moderate severity 585 576 $21K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 716 707 $5K