Medicaid Provider Spending

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

YOUTHCARE PEDIATRICS

NPI: 1275841488 · BRISTOL, TN 37620 · Pediatrics Physician · NPI assigned 09/22/2010

$3.11M
Total Medicaid Paid
126,883
Total Claims
109,741
Beneficiaries
60
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMITORAJ, THOMAS (OWNER)
NPI Enumeration Date09/22/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,688 $275K
2019 22,494 $498K
2020 18,045 $423K
2021 19,145 $487K
2022 20,625 $521K
2023 18,262 $470K
2024 15,624 $436K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,552 16,682 $1.05M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,303 3,880 $318K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,831 3,580 $285K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,659 2,368 $215K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,168 2,703 $202K
90460 Immunization administration through 18 years of age via any route, first or only component 4,594 4,043 $200K
96110 Developmental screening, with scoring and documentation, per standardized instrument 10,319 8,776 $150K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,859 1,652 $135K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,532 1,378 $74K
92551 8,289 7,375 $69K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,721 1,473 $55K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,472 1,670 $40K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,368 2,989 $36K
99173 7,739 6,877 $26K
3008F 8,542 7,615 $17K
90651 833 741 $16K
90670 2,077 1,963 $16K
96127 3,549 3,131 $16K
90680 1,563 1,463 $15K
90723 1,841 1,728 $14K
99174 1,757 1,602 $13K
90648 2,449 2,288 $11K
90734 926 801 $11K
83655 965 898 $10K
99383 106 76 $8K
3074F 4,582 4,027 $8K
3078F 4,539 3,990 $8K
90716 1,175 1,067 $8K
90707 1,212 1,106 $7K
90671 212 175 $7K
90620 438 397 $7K
90633 1,369 1,259 $7K
90686 1,419 1,312 $6K
89190 6,150 5,333 $5K
99188 227 211 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 88 78 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 42 41 $4K
99401 191 158 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 24 24 $2K
99358 Prolong nursin fac eval 15m 177 159 $2K
90715 364 303 $2K
99381 30 25 $2K
87210 581 489 $2K
87807 181 161 $2K
90696 316 278 $2K
85018 592 553 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17 17 $1K
90677 169 160 $1K
90710 26 25 $1K
90700 173 163 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 17 14 $1K
0002A 34 29 $920.00
99460 14 13 $799.87
0001A 34 26 $720.00
90649 29 25 $655.01
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 17 13 $464.13
81000 162 152 $361.45
90685 57 53 $192.93
90461 101 80 $56.30
91300 110 73 $0.00