Medicaid Provider Spending

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

MID-STATE GASTROENTEROLOGY, PLLC

NPI: 1265554091 · MURFREESBORO, TN 37130 · Specialist · NPI assigned 04/04/2007

$101K
Total Medicaid Paid
21,621
Total Claims
16,726
Beneficiaries
24
Codes Billed
2018-01
First Month
2021-08
Last Month

Provider Details

Authorized OfficialBURNETT, ROSALIND (PRACTICE MANAGER)
NPI Enumeration Date04/04/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,042 $55K
2019 8,358 $41K
2020 194 $4K
2021 27 $600.04

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 864 653 $29K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 777 635 $21K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 278 213 $16K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 185 140 $16K
88305 Level IV - Surgical pathology, gross and microscopic examination 420 372 $14K
88312 187 164 $2K
45380 Colonoscopy, flexible; with biopsy, single or multiple 16 12 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 33 28 $2K
99442 15 12 $102.55
G8754 Most recent diastolic blood pressure < 90 mmhg 2,141 1,661 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 668 524 $0.00
1036F 1,930 1,481 $0.00
3017F 1,051 840 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 735 568 $0.00
G8482 Influenza immunization administered or previously received 942 734 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 1,208 966 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,190 898 $0.00
4004F 307 227 $0.00
G8484 Influenza immunization was not administered, reason not given 271 203 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,024 2,230 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 2,167 1,690 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 2,296 1,782 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 901 681 $0.00
G8506 Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 15 12 $0.00