Medicaid Provider Spending

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

RAPHA FAMILY MEDICINE, P.C.

NPI: 1316153067 · AMHERST, NY 14226 · Family Medicine Physician · NPI assigned 05/16/2007

$502K
Total Medicaid Paid
12,020
Total Claims
10,228
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialILOZUE, FRANCES (MEDICAL DIRECTOR)
NPI Enumeration Date05/16/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,138 $145K
2019 1,093 $78K
2020 649 $35K
2021 2,110 $70K
2022 2,755 $84K
2023 2,683 $62K
2024 592 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,807 3,437 $295K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,422 2,546 $178K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 121 121 $11K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 72 71 $6K
99215 Prolong outpt/office vis 32 31 $3K
99442 124 109 $3K
99497 30 30 $2K
99406 166 149 $2K
96127 359 336 $1K
99443 45 40 $1K
80306 32 22 $507.52
3074F 173 160 $60.00
3044F 27 25 $20.00
3078F 78 76 $20.00
3079F 12 12 $0.00
3008F 796 710 $0.00
1125F 174 158 $0.00
1000F 111 98 $0.00
1036F 1,088 932 $0.00
1126F 13 12 $0.00
1034F 30 24 $0.00
1170F 17 15 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 742 645 $0.00
1159F 535 457 $0.00
3077F 14 12 $0.00