Medicaid Provider Spending

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

MEDCARE INC

NPI: 1265713242 · WARREN, MI 48092 · Pain Medicine (Anesthesiology) Physician · NPI assigned 09/02/2011

$2.27M
Total Medicaid Paid
82,766
Total Claims
49,104
Beneficiaries
53
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPISPIDIKIS, JOHN (ADMINISTRATOR)
NPI Enumeration Date09/02/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,713 $247K
2019 10,825 $307K
2020 11,596 $307K
2021 14,468 $396K
2022 12,819 $350K
2023 12,710 $351K
2024 11,635 $315K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 10,980 3,041 $462K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 22,515 8,303 $460K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,682 6,181 $278K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,612 3,425 $228K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,562 1,532 $88K
L0648 Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf 127 125 $85K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 5,964 2,357 $73K
27096 943 839 $71K
98940 4,508 1,597 $65K
97162 1,278 1,247 $65K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 741 735 $61K
72110 1,908 1,883 $51K
98942 1,766 646 $46K
20611 846 521 $40K
97164 1,277 1,212 $39K
72050 1,015 1,002 $28K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 2,735 2,354 $25K
64483 187 162 $19K
64450 773 681 $19K
76942 550 498 $14K
97530 Therapeutic activities, direct patient contact, each 15 minutes 554 238 $13K
72070 609 604 $10K
77003 363 316 $10K
72100 386 382 $8K
64418 84 84 $4K
20552 181 169 $3K
J1030 Injection, methylprednisolone acetate, 40 mg 397 352 $3K
72040 122 121 $2K
64484 29 25 $1K
73030 28 26 $515.14
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 1,513 1,323 $368.68
73502 15 13 $335.58
73560 15 15 $285.22
J2003 Injection, lidocaine hydrochloride, 1 mg 17 15 $186.43
J1040 Injection, methylprednisolone acetate, 80 mg 12 12 $123.49
J1100 Injection, dexamethasone sodium phosphate, 1 mg 798 724 $108.13
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 3,463 2,820 $100.09
J2704 Injection, propofol, 10 mg 384 220 $65.51
J2250 Injection, midazolam hydrochloride, per 1 mg 228 189 $14.14
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 544 510 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 241 227 $0.00
A4550 Surgical trays 615 554 $0.00
0518F 43 39 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 196 93 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 432 398 $0.00
G8942 Functional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional outcome assessment 280 135 $0.00
1100F 15 13 $0.00
G9969 Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred 291 272 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 120 110 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 315 288 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 115 110 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 378 353 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 14 13 $0.00