Medicaid Provider Spending

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

LEMUS, GABRIEL

NPI: 1285821868 · PLAINFIELD, IL 60585 · Adult Health Nurse Practitioner · NPI assigned 09/27/2007

$343K
Total Medicaid Paid
6,811
Total Claims
5,848
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 792 $39K
2019 929 $44K
2020 1,147 $59K
2021 852 $45K
2022 906 $48K
2023 1,114 $51K
2024 1,071 $58K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,086 2,737 $188K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,075 2,560 $139K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 100 94 $8K
96127 475 384 $7K
99490 Ccm add 20min 32 32 $425.02
G8510 Screening for depression is documented as negative, a follow-up plan is not required 13 13 $131.40
G8752 Most recent systolic blood pressure < 140 mmhg 15 14 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 15 14 $0.00