Medicaid Provider Spending

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

FAMILY MEDICAL CLINIC OF LAWRENCEVILLE

NPI: 1306013594 · LAWRENCEVILLE, GA 30044 · Family Medicine Physician · NPI assigned 05/15/2008

$150K
Total Medicaid Paid
5,647
Total Claims
4,767
Beneficiaries
14
Codes Billed
2018-01
First Month
2022-03
Last Month

Provider Details

Authorized OfficialRODRIGO, IRANDATHY (BUSINESS OWNER)
NPI Enumeration Date05/15/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,133 $49K
2019 1,690 $45K
2020 2,198 $41K
2021 614 $13K
2022 12 $808.68

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,356 1,176 $76K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,009 816 $65K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 38 38 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 83 73 $2K
81003 946 838 $2K
93000 15 12 $197.00
90686 27 23 $59.54
99173 15 14 $16.86
36415 Collection of venous blood by venipuncture 23 17 $15.60
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 523 414 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 238 208 $0.00
G8482 Influenza immunization administered or previously received 176 149 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,082 893 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 116 96 $0.00