Medicaid Provider Spending

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

MEMORIAL DRIVE FAMILY MEDICINE P.C

NPI: 1285994251 · STONE MOUNTAIN, GA 30083 · Family Medicine Physician · NPI assigned 05/23/2012

$524K
Total Medicaid Paid
20,502
Total Claims
17,495
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTESFAYE, TASSEW (MEDICAL DOCTOR)
NPI Enumeration Date05/23/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,692 $54K
2019 1,999 $70K
2020 1,805 $44K
2021 3,620 $59K
2022 5,157 $80K
2023 4,583 $134K
2024 1,646 $83K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,570 5,440 $363K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,480 2,173 $102K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 296 263 $25K
99050 756 677 $11K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 220 197 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 68 62 $5K
81002 1,590 1,454 $4K
87400 100 99 $1K
36415 Collection of venous blood by venipuncture 1,950 1,768 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 15 13 $852.64
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 17 15 $769.65
99406 102 88 $716.88
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $584.10
92551 111 97 $472.53
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 13 13 $351.90
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 113 91 $338.10
G0442 Annual alcohol misuse screening, 5 to 15 minutes 99 83 $324.13
90461 28 28 $227.16
81025 28 25 $184.28
90460 Immunization administration through 18 years of age via any route, first or only component 15 13 $173.00
81000 46 46 $128.68
G0444 Annual depression screening, 5 to 15 minutes 62 55 $84.00
V5008 Hearing screening 35 26 $66.12
82948 15 13 $60.05
82962 12 12 $35.43
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 478 446 $7.50
99173 36 26 $4.00
99072 4,964 4,033 $0.00
99172 161 134 $0.00
1170F 62 53 $0.00
99000 13 13 $0.00
99443 20 15 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 15 12 $0.00