Medicaid Provider Spending

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

CLEMENTE V. ZULUETA, JR., MD, PLLC

NPI: 1275543175 · JACKSON, KY 41339 · Endocrinology, Diabetes & Metabolism Physician · NPI assigned 08/09/2006

$2.00M
Total Medicaid Paid
58,022
Total Claims
52,202
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialZULUETA, CLEMENTE (OWNER)
NPI Enumeration Date08/09/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,133 $247K
2019 11,275 $337K
2020 11,749 $385K
2021 9,893 $325K
2022 5,486 $226K
2023 5,840 $259K
2024 5,646 $223K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,869 18,414 $875K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,360 14,350 $667K
80305 13,157 12,579 $135K
99497 2,093 2,024 $118K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,049 1,030 $101K
99490 Ccm add 20min 1,077 1,022 $31K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 268 260 $26K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 279 270 $22K
99244 Office or other outpatient consultation, moderate to high complexity 120 119 $14K
G0444 Annual depression screening, 5 to 15 minutes 1,551 1,228 $5K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 668 422 $2K
99406 226 216 $2K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 114 114 $2K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 133 101 $900.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 58 53 $58.50