Medicaid Provider Spending

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

CRYSTAL SPRINGS MEDICAL PC

NPI: 1295756286 · LOCKPORT, NY 14094 · Clinic/Center · NPI assigned 07/22/2006

$88K
Total Medicaid Paid
2,248
Total Claims
2,013
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialBASSIG, EDGAR (PRESIDENT)
NPI Enumeration Date07/22/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 310 $15K
2019 417 $19K
2020 315 $12K
2021 414 $18K
2022 298 $12K
2023 137 $5K
2024 357 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,621 1,419 $76K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 149 142 $9K
99442 42 37 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $659.45
94760 286 266 $252.89
3008F 64 64 $0.00
3074F 15 15 $0.00
1126F 26 26 $0.00
1159F 33 32 $0.00