Medicaid Provider Spending

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

SL ROUFF MD AMC & SS SILBERSTEIN MD AMC

NPI: 1285625517 · VAN NUYS, CA 91405 · Internal Medicine Physician · NPI assigned 11/04/2005

$275K
Total Medicaid Paid
12,159
Total Claims
11,509
Beneficiaries
23
Codes Billed
2018-01
First Month
2023-02
Last Month

Provider Details

Authorized OfficialSILBERSTEIN, SYLVAIN (PARTNER/PHYSICIAN)
NPI Enumeration Date11/04/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,500 $28K
2019 3,127 $53K
2020 2,177 $47K
2021 1,946 $50K
2022 2,934 $83K
2023 475 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99244 Office or other outpatient consultation, moderate to high complexity 771 768 $106K
99243 991 983 $86K
99233 Prolong inpt eval add15 m 693 150 $27K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,053 2,034 $17K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 885 855 $16K
80053 Comprehensive metabolic panel 1,605 1,593 $7K
99223 Prolong inpt eval add15 m 80 79 $6K
83036 Hemoglobin; glycosylated (A1C) 1,166 1,159 $4K
36415 Collection of venous blood by venipuncture 2,744 2,725 $2K
99401 64 63 $655.35
80061 Lipid panel 92 92 $482.04
99205 Prolong outpt/office vis 53 53 $454.42
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 298 298 $368.70
95251 70 69 $311.79
84443 Thyroid stimulating hormone (TSH) 228 227 $168.00
84439 120 120 $72.16
90674 13 12 $0.32
83718 30 29 $0.00
82465 17 17 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 125 123 $0.00
85651 37 36 $0.00
G0245 Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education 12 12 $0.00
84478 12 12 $0.00