Medicaid Provider Spending

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

JESUS PICHARDO MD PC

NPI: 1295902468 · RIDGEWOOD, NY 11385 · Primary Care Clinic/Center · NPI assigned 05/15/2008

$2.36M
Total Medicaid Paid
671,451
Total Claims
659,027
Beneficiaries
85
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPICHARDO, JESUS (PEDIATRIC)
NPI Enumeration Date05/15/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 69,473 $394K
2019 87,517 $373K
2020 95,341 $410K
2021 107,567 $378K
2022 119,493 $262K
2023 102,419 $337K
2024 89,641 $211K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90460 Immunization administration through 18 years of age via any route, first or only component 37,405 36,448 $908K
92587 28,783 28,752 $484K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 16,501 16,491 $313K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13,142 13,118 $87K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13,957 13,927 $85K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12,462 12,400 $75K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40,603 37,415 $63K
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 15,886 15,875 $47K
G9820 Documentation of a chlamydia screening test with proper follow-up 14,420 14,412 $46K
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 14,323 14,320 $35K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,191 5,085 $29K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,055 2,041 $24K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,915 4,643 $22K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9,204 9,097 $18K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,940 3,905 $16K
0071A 333 333 $11K
0072A 343 343 $11K
90461 10,570 10,504 $10K
H0001 Alcohol and/or drug assessment 14,836 14,834 $10K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 13,611 13,292 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,289 1,288 $8K
99173 15,719 15,702 $7K
90670 3,529 3,527 $6K
36415 Collection of venous blood by venipuncture 43,558 42,868 $5K
86580 444 444 $4K
92552 2,207 2,206 $4K
99381 478 477 $4K
90686 12,573 12,559 $2K
3074F 23,382 23,326 $2K
3078F 23,178 23,122 $2K
87430 489 482 $2K
90734 2,233 2,232 $2K
99382 205 205 $2K
91307 438 428 $2K
90716 1,175 1,174 $1K
90633 3,311 3,305 $1K
90707 1,040 1,039 $1K
86769 34 34 $1K
81003 583 576 $1K
99495 221 216 $824.90
92567 1,441 1,438 $682.71
36406 623 620 $566.05
90648 1,810 1,808 $470.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 24 24 $438.76
90744 1,409 1,409 $412.86
90685 422 422 $368.94
99383 167 167 $318.87
90723 815 814 $290.00
90672 199 199 $241.92
90700 636 635 $230.00
90715 1,574 1,574 $195.48
90681 1,640 1,639 $135.00
90698 1,995 1,995 $120.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 159 159 $117.91
90696 1,051 1,051 $75.00
90688 411 410 $55.59
99201 46 46 $54.89
G8510 Screening for depression is documented as negative, a follow-up plan is not required 11,543 11,542 $46.80
85018 14 14 $27.80
87400 612 609 $19.56
87081 14 14 $14.15
3079F 59 59 $12.50
3008F 58,719 55,411 $0.01
G8420 Bmi is documented within normal parameters and no follow-up plan is required 23,533 22,302 $0.00
1036F 16,893 16,879 $0.00
99000 37,358 36,614 $0.00
90651 3,444 3,443 $0.00
G9275 Documentation that patient is a current non-tobacco user 18,942 18,909 $0.00
1000F 17,493 17,463 $0.00
90619 1,047 1,047 $0.00
90620 3,327 3,326 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 193 187 $0.00
90697 41 41 $0.00
90674 478 478 $0.00
99384 12 12 $0.00
36416 14 14 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 19,618 18,715 $0.00
90671 789 789 $0.00
3016F 13,240 13,237 $0.00
83655 7,020 7,011 $0.00
90710 1,080 1,080 $0.00
3725F 12,912 12,909 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 15 14 $0.00
90713 41 41 $0.00
90621 12 12 $0.00