Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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VICTOR INTERNAL MEDICINE & PEDIATRICS,P.C.

NPI: 1275673758 · VICTOR, NY 14564 · Pediatrics Physician · NPI assigned 02/07/2007

$33K
Total Medicaid Paid
519
Total Claims
498
Beneficiaries
2
Codes Billed
2019-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPENIRD, KEVIN (PRESIDENT)
NPI Enumeration Date02/07/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 29 $1K
2020 99 $6K
2021 196 $13K
2022 143 $10K
2023 40 $3K
2024 12 $840.72

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 490 469 $32K
90460 Immunization administration through 18 years of age via any route, first or only component 29 29 $672.25