Medicaid Provider Spending

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

ASTHMA ALLERGY & SINUS CLINIC PA

NPI: 1255460507 · DAYTONA BEACH, FL 32114 · Allergy & Immunology Physician · NPI assigned 03/04/2007

$224K
Total Medicaid Paid
3,227
Total Claims
2,040
Beneficiaries
6
Codes Billed
2019-02
First Month
2022-08
Last Month

Provider Details

Authorized OfficialDI NICOLO, ROBERTO (DIRECTOR)
NPI Enumeration Date03/04/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 739 $54K
2020 686 $33K
2021 956 $53K
2022 846 $84K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
95004 Percutaneous tests with allergenic extracts, immediate type reaction 319 267 $83K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 589 569 $59K
99244 Office or other outpatient consultation, moderate to high complexity 228 225 $35K
95117 1,939 855 $18K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 112 111 $18K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 40 13 $11K