Medicaid Provider Spending

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

MC HEALTHCARE PA

NPI: 1295053973 · CARROLLTON, TX 75007 · Primary Care Clinic/Center · NPI assigned 05/05/2010

$149K
Total Medicaid Paid
16,079
Total Claims
13,548
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSETOUDEH-MARAM, SHAHRIAR (OWNER)
NPI Enumeration Date05/05/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,169 $34K
2019 2,903 $20K
2020 2,472 $20K
2021 1,749 $17K
2022 1,941 $19K
2023 2,203 $18K
2024 1,642 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,000 4,331 $75K
99487 Ccm add 20min 3,244 3,232 $27K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,561 2,084 $22K
93923 565 526 $7K
97162 37 37 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 748 605 $4K
99483 Prolong outpt/office vis 385 384 $3K
99490 Ccm add 20min 332 332 $2K
95923 126 124 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 14 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 283 256 $650.83
93922 126 124 $592.50
95921 126 124 $486.88
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 28 17 $194.57
G0444 Annual depression screening, 5 to 15 minutes 87 87 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 28 17 $0.00
90662 132 130 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12 12 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 650 543 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 408 384 $0.00
G0008 Administration of influenza virus vaccine 136 134 $0.00
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 51 51 $0.00