Medicaid Provider Spending

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

TUVIDA MEDICAL PRACTICE, PLLC

NPI: 1255842613 · NEW YORK, NY 10032 · Internal Medicine Physician · NPI assigned 10/12/2017

$105K
Total Medicaid Paid
131,739
Total Claims
120,486
Beneficiaries
101
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMEJIA, MANUEL (OWNER)
NPI Enumeration Date10/12/2017

Related Entities

Other providers sharing the same authorized official: MEJIA, MANUEL

ProviderCityStateTotal Paid
GRAND CONCOURSE MEDICAL PRACTICE, P.C. BRONX NY $155K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,353 $22K
2019 19,128 $31K
2020 16,947 $16K
2021 19,393 $13K
2022 21,016 $11K
2023 27,631 $8K
2024 17,271 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 3,364 2,943 $31K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,570 3,299 $16K
G0444 Annual depression screening, 5 to 15 minutes 1,779 1,768 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,845 2,631 $8K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,689 2,610 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,103 1,100 $5K
3078F 5,456 4,911 $5K
3074F 4,179 3,801 $4K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 444 382 $4K
99442 140 121 $3K
93000 258 254 $2K
3077F 1,072 989 $2K
3079F 1,037 942 $1K
1126F 2,791 2,523 $1K
3075F 1,103 1,055 $1K
1170F 1,320 1,168 $1K
H0001 Alcohol and/or drug assessment 2,647 2,608 $1K
1160F 6,006 5,325 $1K
97802 3,049 2,656 $871.97
36415 Collection of venous blood by venipuncture 4,534 4,366 $512.68
1125F 1,684 1,583 $423.00
1159F 3,394 3,128 $410.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 28 28 $351.03
81000 2,545 2,493 $327.31
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 13 13 $274.68
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 73 73 $163.14
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 202 200 $139.05
99401 130 103 $62.00
83036 Hemoglobin; glycosylated (A1C) 833 797 $48.55
G0442 Annual alcohol misuse screening, 5 to 15 minutes 142 142 $20.89
3051F 329 310 $20.00
3044F 680 673 $10.00
94760 978 969 $2.78
2010F 6,789 5,958 $0.00
2001F 1,563 1,472 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 2,388 2,109 $0.00
3011F 800 794 $0.00
G9275 Documentation that patient is a current non-tobacco user 1,558 1,547 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 3,281 2,885 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 6,344 5,544 $0.00
H0002 Behavioral health screening to determine eligibility for admission to treatment program 993 983 $0.00
1036F 1,638 1,629 $0.00
2016F 55 54 $0.00
3008F 5,933 5,195 $0.00
G8734 Elder maltreatment screen documented as negative, follow-up is not required 1,271 1,113 $0.00
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening 483 483 $0.00
2000F 1,782 1,648 $0.00
3049F 136 135 $0.00
3017F 222 221 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 64 56 $0.00
4293F 668 665 $0.00
3754F 32 31 $0.00
1220F 232 217 $0.00
1101F 1,170 1,025 $0.00
1000F 931 905 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 336 299 $0.00
99000 575 565 $0.00
3048F 236 235 $0.00
3061F 597 592 $0.00
2015F 55 54 $0.00
4010F 15 15 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 247 225 $0.00
1005F 55 54 $0.00
3014F 119 118 $0.00
1006F 33 33 $0.00
3052F 15 14 $0.00
3060F 40 40 $0.00
4144F 55 54 $0.00
1034F 17 17 $0.00
4086F 38 38 $0.00
4140F 55 54 $0.00
3725F 4,351 3,931 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 6,958 5,999 $0.00
G9621 Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling 677 666 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 1,234 1,123 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 1,224 1,098 $0.00
4013F 2,018 1,785 $0.00
G9507 Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs) 2,385 2,105 $0.00
1003F 1,163 1,018 $0.00
3016F 1,706 1,696 $0.00
99072 215 211 $0.00
0518F 1,103 963 $0.00
2028F 623 621 $0.00
3050F 230 227 $0.00
3288F 1,164 1,019 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 1,830 1,572 $0.00
1090F 1,166 1,021 $0.00
4025F 55 54 $0.00
0556F 495 491 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 222 197 $0.00
G9383 Patient received screening for hcv infection within the 12 month reporting period 508 507 $0.00
G9820 Documentation of a chlamydia screening test with proper follow-up 439 439 $0.00
G9150 National committee for quality assurance - level 3 medical home 39 39 $0.00
99397 155 155 $0.00
99215 Prolong outpt/office vis 13 13 $0.00
1158F 127 127 $0.00
3015F 75 73 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 33 33 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 269 239 $0.00
1033F 12 12 $0.00
G8935 Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 12 12 $0.00