Medicaid Provider Spending

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

ERIE T AGUSTIN MD PC

NPI: 1306037247 · WOODSIDE, NY 11377 · Clinic/Center · NPI assigned 08/06/2007

$630K
Total Medicaid Paid
16,153
Total Claims
13,301
Beneficiaries
35
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialAGUSTIN, ERIE (PRESIDENT)
NPI Enumeration Date08/06/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,367 $185K
2019 6,355 $189K
2020 1,299 $32K
2021 1,455 $70K
2022 1,777 $85K
2023 900 $69K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,890 4,574 $495K
99401 1,554 1,335 $43K
99402 549 435 $28K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 359 300 $18K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 117 112 $9K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 53 53 $4K
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 188 169 $3K
94060 66 66 $3K
99442 47 40 $3K
99487 Ccm add 20min 44 43 $3K
99000 1,025 990 $2K
36415 Collection of venous blood by venipuncture 1,003 973 $2K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 117 41 $2K
99490 Ccm add 20min 60 60 $2K
H0001 Alcohol and/or drug assessment 41 41 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 116 41 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 46 37 $1K
99443 13 12 $1K
82950 426 378 $929.00
97032 109 39 $914.60
94375 64 64 $853.32
G0444 Annual depression screening, 5 to 15 minutes 83 82 $806.54
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 38 17 $550.35
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 26 26 $540.60
81000 67 62 $188.27
99001 43 43 $139.25
99051 19 14 $91.39
1159F 693 577 $15.00
1160F 674 565 $7.50
99072 77 71 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 15 14 $0.00
80101 40 39 $0.00
0001F 887 756 $0.00
2010F 1,489 1,191 $0.00
97010 115 41 $0.00