Medicaid Provider Spending

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

MENDIOLA PC

NPI: 1265681167 · FORT PAYNE, AL 35967 · Internal Medicine Physician · NPI assigned 09/16/2008

$72K
Total Medicaid Paid
7,069
Total Claims
6,394
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMENDIOLA, CARMELO (OWNER)
NPI Enumeration Date09/16/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,198 $10K
2019 1,447 $14K
2020 1,106 $18K
2021 497 $9K
2022 360 $8K
2023 272 $8K
2024 189 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,977 1,834 $52K
90961 174 167 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 165 143 $6K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,033 863 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 19 13 $1K
90686 50 50 $281.07
90756 61 48 $227.90
90656 14 14 $89.40
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 19 13 $55.00
1036F 431 392 $0.00
1170F 12 12 $0.00
3074F 133 120 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 138 129 $0.00
3075F 28 28 $0.00
G0008 Administration of influenza virus vaccine 65 65 $0.00
3079F 26 26 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 14 14 $0.00
99080 307 242 $0.00
3078F 208 185 $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) 107 103 $0.00
4040F 269 246 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 109 104 $0.00
G8482 Influenza immunization administered or previously received 462 435 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 480 440 $0.00
4004F 127 117 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 615 565 $0.00
99072 26 26 $0.00