Medicaid Provider Spending

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

LUBSEY MEDICAL CLINIC INC

NPI: 1316336795 · MILWAUKEE, WI 53218 · Specialist · NPI assigned 01/22/2015

$1.05M
Total Medicaid Paid
77,437
Total Claims
55,284
Beneficiaries
56
Codes Billed
2018-01
First Month
2023-04
Last Month

Provider Details

Authorized OfficialODEH, KHALIL (OWNER)
NPI Enumeration Date01/22/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,860 $292K
2019 15,642 $223K
2020 16,271 $201K
2021 19,620 $164K
2022 9,585 $129K
2023 1,459 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,965 13,977 $744K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,538 1,873 $66K
99215 Prolong outpt/office vis 1,213 999 $60K
99442 2,912 1,901 $41K
94010 1,106 864 $28K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,121 852 $16K
80305 1,672 917 $15K
94664 1,215 980 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 133 120 $10K
99354 169 109 $10K
81025 1,402 1,028 $9K
96127 2,280 1,656 $5K
99406 2,363 1,622 $5K
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 1,205 1,030 $5K
81002 2,231 1,697 $4K
99443 132 99 $4K
90686 234 180 $3K
82962 1,973 1,523 $3K
3008F 7,169 5,293 $2K
94760 6,187 4,338 $1K
99422 79 49 $1K
99000 415 259 $1K
G0444 Annual depression screening, 5 to 15 minutes 915 738 $1K
99173 76 50 $751.82
0002A 16 15 $619.27
90688 42 30 $606.82
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 16 12 $582.20
92551 84 55 $573.93
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 25 19 $556.82
99441 53 45 $477.64
99310 Prolong nursin fac eval 15m 54 38 $439.79
93000 27 24 $384.27
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 27 23 $379.14
0124A 17 12 $348.02
99072 539 365 $263.28
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 53 38 $257.82
0001A 19 12 $256.25
90658 18 15 $232.69
99401 102 58 $179.62
G8420 Bmi is documented within normal parameters and no follow-up plan is required 2,532 1,759 $149.59
36415 Collection of venous blood by venipuncture 702 501 $136.64
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 220 167 $110.51
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 28 12 $44.83
1000F 2,541 1,774 $0.05
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,403 982 $0.02
3079F 2,072 1,470 $0.01
G8752 Most recent systolic blood pressure < 140 mmhg 437 284 $0.00
3077F 1,734 1,292 $0.00
1160F 323 235 $0.00
3078F 1,154 787 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 74 40 $0.00
99071 44 28 $0.00
3074F 1,506 1,017 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 670 456 $0.00
3075F 1,100 760 $0.00
3080F 1,100 805 $0.00