Medicaid Provider Spending

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

WHERLEY, ANDREW

NPI: 1316300593 · PONTIAC, IL 61764 · Family Medicine Physician · NPI assigned 04/04/2016

$116K
Total Medicaid Paid
3,024
Total Claims
2,565
Beneficiaries
10
Codes Billed
2019-08
First Month
2023-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 358 $12K
2020 838 $29K
2021 955 $37K
2022 667 $30K
2023 206 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,372 1,190 $56K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 615 537 $37K
96110 Developmental screening, with scoring and documentation, per standardized instrument 461 359 $8K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 160 144 $6K
90686 276 211 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 46 38 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 18 18 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 17 14 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 33 28 $439.60
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 26 26 $342.47