Medicaid Provider Spending

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

DR. GINO MERCADANTE, P.C.

NPI: 1285828939 · LUDLOW, MA 01056 · Internal Medicine Physician · NPI assigned 09/05/2007

$871K
Total Medicaid Paid
39,030
Total Claims
36,312
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWILSON, KIMBERLY (OFFICE MANAGER)
NPI Enumeration Date09/05/2007

Related Entities

Other providers sharing the same authorized official: WILSON, KIMBERLY

ProviderCityStateTotal Paid
ENRICH PERSONAL CARE SERVICES, LLC. MONROE LA $26.75M
SOUTHERN CARE AND COMFORT IN HOME AGENCY, LLC POPLAR BLUFF MO $15.39M
TEXAS HEALTH FOUNDATION, INC BEAUMONT TX $646K
KAREFIRST MISSOURI PC DES PERES MO $625K
MEDICAL UNITED FOUNDATION, INC BEAUMONT TX $235K
KAREFIRST INDIANA PC SOUTH BEND IN $168K
KAREFIRST IOWA PC NORWALK IA $135K
SOUTHWEST VIRGINIA HOME HEALTH CARE, INC GALAX VA $86K
KAREFIRST FLORIDA PA NORTH BAY VILLAGE FL $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,852 $131K
2019 7,801 $120K
2020 6,637 $109K
2021 6,050 $123K
2022 3,087 $129K
2023 3,387 $126K
2024 3,216 $134K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,511 8,214 $398K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,659 2,491 $150K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,231 1,168 $109K
99215 Prolong outpt/office vis 1,870 1,754 $83K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 265 256 $25K
84443 Thyroid stimulating hormone (TSH) 1,964 1,892 $18K
93000 2,373 2,245 $18K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 727 694 $10K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,386 2,232 $10K
83036 Hemoglobin; glycosylated (A1C) 1,770 1,731 $8K
94375 618 552 $7K
90686 709 681 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 128 114 $5K
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 389 309 $5K
84153 438 424 $4K
80048 Basic metabolic panel (calcium, ionized) 2,677 2,506 $2K
ATP13 295 295 $2K
80061 Lipid panel 2,174 2,130 $2K
ATP08 358 330 $1K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 27 25 $1K
83540 362 343 $1K
ATP14 284 281 $1K
ATP11 237 237 $1K
84460 1,403 1,382 $797.35
84450 1,396 1,375 $761.45
82550 751 737 $434.87
90662 174 165 $415.26
82540 199 192 $403.53
80076 376 365 $306.21
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 130 123 $286.91
ATP15 28 28 $217.80
81002 56 51 $70.07
ATP10 13 13 $62.72
G0008 Administration of influenza virus vaccine 402 397 $19.39
80053 Comprehensive metabolic panel 12 12 $12.13
1036F 152 131 $0.00
3044F 81 73 $0.00
3017F 127 115 $0.00
3014F 49 46 $0.00
G8482 Influenza immunization administered or previously received 146 129 $0.00
3023F 83 74 $0.00