Medicaid Provider Spending

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

MARGARET BOWEN MD PLLC

NPI: 1265949788 · REIDSVILLE, NC 27320 · General Practice Physician · NPI assigned 01/05/2018

$4.03M
Total Medicaid Paid
54,548
Total Claims
25,951
Beneficiaries
21
Codes Billed
2019-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOWEN, MARGARET (OWNER)
NPI Enumeration Date01/05/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,524 $101K
2020 10,724 $692K
2021 12,121 $862K
2022 11,513 $738K
2023 9,868 $931K
2024 7,798 $702K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 13,306 6,154 $1.91M
99215 Prolong outpt/office vis 9,701 5,107 $1.05M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 8,022 3,512 $359K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,936 2,359 $342K
90832 Psychotherapy, 30 minutes with patient 2,406 1,248 $96K
99409 1,362 722 $58K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 606 429 $52K
90834 Psychotherapy, 45 minutes with patient 576 440 $38K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 511 365 $36K
99205 Prolong outpt/office vis 216 183 $28K
99417 Prolong home eval add 15m 400 348 $17K
99443 207 105 $8K
99354 126 90 $8K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 58 38 $6K
99355 126 89 $6K
90837 Psychotherapy, 53 minutes with patient 51 32 $5K
80305 655 513 $5K
99000 9,994 4,013 $3K
H0001 Alcohol and/or drug assessment 103 73 $2K
98968 115 69 $739.04
81025 71 62 $374.99