Medicaid Provider Spending

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

MITZI T. JIMENEZ MD PA

NPI: 1255618112 · HOUSTON, TX 77023 · Family Medicine Physician · NPI assigned 11/07/2011

$57K
Total Medicaid Paid
4,884
Total Claims
3,938
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialJIMENEZ, MITZI (DIRECTOR)
NPI Enumeration Date11/07/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 350 $2K
2019 267 $2K
2020 231 $3K
2021 988 $15K
2022 1,489 $19K
2023 1,072 $11K
2024 487 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,546 1,218 $41K
99215 Prolong outpt/office vis 150 114 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 100 83 $4K
99000 215 196 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 139 87 $1K
96160 96 84 $25.56
3074F 177 153 $0.00
36415 Collection of venous blood by venipuncture 179 164 $0.00
3075F 320 237 $0.00
3008F 723 569 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 14 14 $0.00
1036F 43 42 $0.00
1101F 13 13 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 12 12 $0.00
3078F 790 618 $0.00
G0444 Annual depression screening, 5 to 15 minutes 91 82 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 45 40 $0.00
G8400 Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given 29 28 $0.00
99072 113 95 $0.00
1090F 47 47 $0.00
0518F 42 42 $0.00