Medicaid Provider Spending

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

SPECIAL CARE LLC

NPI: 1306106596 · SILVER SPRING, MD 20903 · Family Medicine Physician · NPI assigned 05/21/2012

$2.01M
Total Medicaid Paid
32,761
Total Claims
23,064
Beneficiaries
26
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMACARTHY, ANTHONY (MEDICAL DIRECTOR)
NPI Enumeration Date05/21/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 43 $4K
2019 59 $529.64
2020 5,086 $310K
2021 6,010 $314K
2022 5,902 $393K
2023 7,351 $470K
2024 8,310 $520K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,019 8,244 $1.18M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,644 5,299 $662K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 695 647 $83K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 350 338 $41K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 613 458 $7K
36415 Collection of venous blood by venipuncture 3,613 3,198 $7K
99335 247 129 $5K
81000 3,593 3,042 $4K
99348 132 94 $4K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 176 143 $3K
90661 87 82 $3K
90688 148 134 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 181 155 $2K
90686 86 81 $2K
90682 36 31 $2K
90674 39 39 $1K
G0008 Administration of influenza virus vaccine 28 28 $535.50
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 331 292 $358.43
82962 88 73 $112.23
99000 329 286 $85.80
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 175 153 $54.41
J2405 Injection, ondansetron hydrochloride, per 1 mg 30 27 $8.60
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 50 36 $0.36
90460 Immunization administration through 18 years of age via any route, first or only component 44 28 $0.00
90662 12 12 $0.00
90694 15 15 $0.00