Medicaid Provider Spending

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

MED INSTITUTE

NPI: 1316120603 · BEVERLY HILLS, CA 90211 · Internal Medicine Physician · NPI assigned 12/10/2007

$306K
Total Medicaid Paid
22,064
Total Claims
17,703
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFOXMAN, ALEX (PRESIDENT)
NPI Enumeration Date12/10/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,301 $25K
2019 1,780 $46K
2020 3,522 $59K
2021 4,861 $67K
2022 2,399 $28K
2023 2,638 $14K
2024 5,563 $66K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99350 Prolong home eval add 15m 5,905 4,126 $170K
99490 Ccm add 20min 3,344 3,319 $40K
99349 1,208 907 $38K
99439 1,223 1,214 $14K
99457 990 981 $12K
99347 585 525 $9K
99454 407 376 $6K
99458 501 495 $5K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 519 357 $3K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 141 133 $2K
99348 159 111 $2K
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). 147 146 $2K
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 80 70 $1K
99337 49 39 $819.46
99358 Prolong nursin fac eval 15m 26 26 $595.26
93000 105 98 $432.63
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 4,185 2,931 $284.17
99421 29 26 $181.97
90682 28 27 $59.87
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 242 182 $42.47
99497 15 15 $14.80
G9903 Patient screened for tobacco use and identified as a tobacco non-user 1,119 774 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 351 267 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 24 24 $0.00
G0008 Administration of influenza virus vaccine 30 29 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 15 13 $0.00
80048 Basic metabolic panel (calcium, ionized) 13 13 $0.00
G8482 Influenza immunization administered or previously received 171 121 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 293 233 $0.00
1100F 74 58 $0.00
4040F 35 27 $0.00
0518F 38 27 $0.00
80076 13 13 $0.00