Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Akalonu, Augustine

Akalonu, Augustine was paid $741K by Medicaid between Jan 2018 and Dec 2024, across 72 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.

33Billing provider infoAKALONU, AUGUSTINE
BRONX, NY 10466
33aNPI1275699878assigned 12/28/2006
33bProvider typePediatrics Physician
28Total paid$741K
24GClaims28,939
24DCodes billed72
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#336 of 1,983
Median peer was paid$17K
This provider vs. median44×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20184,296$100K
20195,135$110K
20203,402$66K
20213,304$88K
20224,441$137K
20234,496$129K
2024incomplete3,865$112K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40% 5,278 4,516 $299K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18% 1,480 1,326 $132K
90460 Immunization administration through 18 years of age via any route, first or only component 12% 2,645 2,636 $86K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7.3% 712 710 $54K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5.3% 550 541 $39K
99354 3.1% 299 263 $23K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.9% 265 265 $21K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2.6% 962 922 $20K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.5% 2,230 2,220 $11K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.4% 157 144 $11K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.3% 80 75 $10K
92551 1.0% 1,069 1,063 $8K
60 more codes
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 567 $3K
99417 Prolong home eval add 15m <1% 26 $3K
H0049 Alcohol and/or drug screening <1% 428 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 584 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 350 $2K
G0444 Annual depression screening, 5 to 15 minutes <1% 406 $2K
99406 <1% 290 $1K
96160 <1% 26 $1K
83655 <1% 155 $1K
86580 <1% 220 $1K
81005 <1% 445 $776.67
83036 Hemoglobin; glycosylated (A1C) <1% 336 $744.76
86480 <1% 82 $744.12
0072A <1% 15 $560.00
80053 Comprehensive metabolic panel <1% 390 $534.92
0071A <1% 14 $520.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 110 $502.52
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 286 $494.70
0001A <1% 12 $434.30
0002A <1% 12 $434.30
80061 Lipid panel <1% 343 $410.88
94644 <1% 41 $406.66
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 14 $232.96
90686 <1% 873 $198.71
87070 <1% 160 $160.26
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 13 $98.52
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 13 $98.52
87806 <1% 24 $96.30
94645 <1% 20 $81.03
99172 <1% 932 $77.47
36410 <1% 128 $59.52
84479 <1% 77 $40.46
90473 <1% 25 $37.50
99051 <1% 67 $28.00
87400 <1% 13 $22.48
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 42 $13.35
86756 <1% 25 $12.24
86003 <1% 13 $8.14
86592 <1% 12 $5.98
80048 Basic metabolic panel (calcium, ionized) <1% 12 $4.48
J7510 Prednisolone oral, per 5 mg <1% 12 $0.42
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 685 $0.00
1000F 0% 587 $0.00
G9275 Documentation that patient is a current non-tobacco user 0% 574 $0.00
1036F 0% 587 $0.00
90680 0% 13 $0.00
91307 0% 63 $0.00
90656 0% 46 $0.00
90677 0% 14 $0.00
96127 0% 12 $0.00
90647 0% 25 $0.00
99080 0% 2,254 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 322 $0.00
G9920 Screening performed and negative 0% 143 $0.00
90658 0% 74 $0.00
91300 0% 46 $0.00
90670 0% 62 $0.00
90661 0% 66 $0.00
90633 0% 14 $0.00
90734 0% 12 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.