Medicaid Provider Spending

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

PREMIER MEDICAL GROUP OF THE HUDSON VALLEY P.C.

NPI: 1255437166 · POUGHKEEPSIE, NY 12603 · Internal Medicine Physician · NPI assigned 09/16/2006

$7.94M
Total Medicaid Paid
147,865
Total Claims
141,683
Beneficiaries
111
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMURPHY, JOHN (DIRECTOR OF FINANCE)
NPI Enumeration Date09/16/2006

Related Entities

Other providers sharing the same authorized official: MURPHY, JOHN

ProviderCityStateTotal Paid
FIRST STATE PEDIATRICS, LLC NEWARK DE $1.13M
JOHN E. MURPHY, III CENTERVILLE OH $179K
JOHN E. MURPHY, DMD, PLLC LOXLEY AL $162K
DELAWARE VALLEY UROLOGY LLC MOUNT LAUREL NJ $88K
JOHN A. MURPHY MD PC BEND OR $8K
MURPHY & MURPHY DDS PC LANSING MI $930.09

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,117 $546K
2019 17,845 $878K
2020 20,443 $926K
2021 26,910 $1.36M
2022 25,784 $1.46M
2023 30,414 $1.71M
2024 16,352 $1.06M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 23,733 22,718 $2.68M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,789 19,764 $1.63M
88305 Level IV - Surgical pathology, gross and microscopic examination 4,921 4,814 $867K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 860 777 $252K
99221 2,531 2,476 $246K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,341 1,337 $219K
88312 2,168 2,166 $218K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,159 2,159 $207K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,612 1,611 $156K
A4550 Surgical trays 693 673 $137K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,226 1,226 $128K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 805 797 $116K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,239 1,124 $113K
90460 Immunization administration through 18 years of age via any route, first or only component 7,843 7,786 $107K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 921 920 $101K
93000 5,411 5,221 $79K
00731 438 438 $55K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5,917 5,252 $47K
99215 Prolong outpt/office vis 252 246 $43K
99223 Prolong inpt eval add15 m 258 252 $43K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,380 1,293 $33K
81003 14,814 13,918 $30K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 612 586 $29K
G0008 Administration of influenza virus vaccine 1,930 1,930 $28K
45380 Colonoscopy, flexible; with biopsy, single or multiple 86 83 $27K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,457 779 $25K
99222 Initial hospital care, per day, moderate complexity 171 167 $23K
99232 Subsequent hospital care, per day, moderate complexity 320 184 $23K
51798 1,586 1,544 $20K
99233 Prolong inpt eval add15 m 190 97 $19K
99051 702 684 $19K
76770 169 169 $19K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,276 1,261 $18K
92551 5,939 5,939 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 315 304 $15K
00812 139 139 $14K
52000 47 47 $13K
96127 2,698 2,677 $13K
36415 Collection of venous blood by venipuncture 2,291 2,216 $12K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 114 114 $12K
G0009 Administration of pneumococcal vaccine 477 474 $8K
96110 Developmental screening, with scoring and documentation, per standardized instrument 963 960 $7K
80053 Comprehensive metabolic panel 630 624 $6K
93880 39 39 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 55 55 $6K
93015 83 81 $5K
4124F 330 330 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 661 654 $5K
97803 229 175 $5K
99385 15 15 $2K
87086 Culture, bacterial; quantitative colony count, urine 262 252 $2K
99386 12 12 $2K
00811 12 12 $2K
11102 18 18 $2K
87070 139 138 $1K
80050 General health panel 32 32 $1K
0071A 28 28 $1K
0072A 27 27 $1K
93224 13 13 $938.40
76700 Ultrasound, abdominal, real time with image documentation; complete 13 13 $910.78
S0285 Colonoscopy consultation performed prior to a screening colonoscopy procedure 13 13 $899.47
94010 25 25 $796.39
85018 289 288 $663.56
0002A 16 15 $618.15
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) 41 41 $599.35
0001A 13 13 $490.89
83655 36 36 $459.54
99177 140 140 $445.86
94060 25 25 $408.54
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 12 12 $355.20
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 21 19 $344.40
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable 20 18 $307.61
99173 5,209 5,204 $297.58
94729 26 26 $239.16
83036 Hemoglobin; glycosylated (A1C) 26 26 $212.05
11721 13 13 $155.47
82728 12 12 $152.11
80061 Lipid panel 13 13 $147.29
94726 13 13 $142.47
99050 14 14 $125.00
90686 605 603 $121.76
94760 7,899 7,546 $106.39
84439 12 12 $98.63
83550 13 13 $95.81
83540 14 14 $77.29
90461 24 24 $40.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 20 19 $37.20
A7015 Aerosol mask, used with dme nebulizer 20 18 $20.14
99000 1,698 1,634 $0.00
36416 463 452 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 498 480 $0.00
90651 14 14 $0.00
3080F 39 39 $0.00
1126F 157 154 $0.00
3017F 183 175 $0.00
3074F 127 122 $0.00
91307 13 13 $0.00
3079F 70 69 $0.00
90696 13 13 $0.00
90698 25 25 $0.00
90680 12 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 14 13 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 4,019 3,889 $0.00
90715 25 25 $0.00
90633 25 25 $0.00
1160F 133 123 $0.00
3077F 58 58 $0.00
90670 99 99 $0.00
1159F 133 123 $0.00
1090F 57 56 $0.00
3078F 15 15 $0.00