Medicaid Provider Spending

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

ANNAPOLIS ENT SURGICAL CENTER LLC

NPI: 1275372617 · ANNAPOLIS, MD 21401 · Specialist · NPI assigned 05/24/2024

$44K
Total Medicaid Paid
1,226
Total Claims
1,136
Beneficiaries
13
Codes Billed
2024-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBEZEK, ERIN (CREDENTIALING COORDINATOR)
NPI Enumeration Date05/24/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 1,226 $44K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 476 455 $20K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 108 107 $8K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 123 119 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 56 55 $3K
69210 120 118 $3K
92567 104 95 $1K
31231 35 34 $1K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 14 14 $1K
95117 104 58 $898.80
92504 42 40 $856.33
31575 16 15 $307.91
1036F 15 14 $0.00
92557 13 12 $0.00