Medicaid Provider Spending

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

KHOURY, MARIANNE

NPI: 1255319430 · WATERTOWN, MA 02472 · Pediatrics Physician · NPI assigned 01/06/2006

$26K
Total Medicaid Paid
505
Total Claims
415
Beneficiaries
6
Codes Billed
2018-04
First Month
2020-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 216 $13K
2019 247 $10K
2020 42 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 96 91 $10K
90460 Immunization administration through 18 years of age via any route, first or only component 198 113 $7K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 42 42 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 55 55 $2K
96127 100 100 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14 14 $1K