Medicaid Provider Spending

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

ANDREA E NOMBERG PHYSICIAN PC

NPI: 1295394120 · RONKONKOMA, NY 11779 · Family Medicine Physician · NPI assigned 06/13/2019

$107K
Total Medicaid Paid
4,402
Total Claims
4,188
Beneficiaries
12
Codes Billed
2020-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNOMBERG, ANDREA (OWNER)
NPI Enumeration Date06/13/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 240 $8K
2021 658 $20K
2022 1,292 $31K
2023 1,448 $31K
2024 764 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,089 996 $63K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 818 738 $30K
93000 291 290 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 29 29 $3K
G0444 Annual depression screening, 5 to 15 minutes 212 212 $2K
90682 29 29 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 93 93 $1K
81002 552 547 $781.92
90674 19 19 $559.25
36415 Collection of venous blood by venipuncture 1,246 1,211 $482.11
87428 12 12 $350.98
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 12 12 $253.77