Medicaid Provider Spending

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

CATHOLIC MEDICAL CENTER

NPI: 1265487755 · MANCHESTER, NH 03104 · Internal Medicine Physician · NPI assigned 05/23/2006

$100K
Total Medicaid Paid
3,290
Total Claims
2,503
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMCKELLAR, BONNIE (ADMINISTRATOR)
NPI Enumeration Date05/23/2006

Related Entities

Other providers sharing the same authorized official: MCKELLAR, BONNIE

ProviderCityStateTotal Paid
CATHOLIC MEDICAL CENTER BEDFORD NH $179K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 467 $9K
2019 703 $18K
2020 154 $5K
2021 125 $5K
2022 747 $29K
2023 456 $20K
2024 638 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,517 1,153 $62K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,383 1,022 $35K
99215 Prolong outpt/office vis 31 24 $2K
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) 299 250 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 28 28 $142.95
90460 Immunization administration through 18 years of age via any route, first or only component 14 13 $84.63
99406 18 13 $47.05