Medicaid Provider Spending

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

MANOR AVENUE CLINIC INC

NPI: 1326022625 · STRUTHERS, OH 44471 · Family Medicine Physician · NPI assigned 12/01/2005

$537K
Total Medicaid Paid
20,060
Total Claims
16,682
Beneficiaries
13
Codes Billed
2018-01
First Month
2021-01
Last Month

Provider Details

Authorized OfficialLOCKSHAW, ANDREW (DO)
NPI Enumeration Date12/01/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,783 $208K
2019 7,266 $194K
2020 4,641 $125K
2021 370 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,324 9,152 $407K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,273 1,919 $108K
80061 Lipid panel 613 537 $6K
81003 2,333 2,024 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 379 346 $4K
36415 Collection of venous blood by venipuncture 2,611 2,201 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 43 41 $2K
86580 152 142 $746.77
87070 83 80 $687.20
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 13 $120.00
83718 78 76 $7.97
84478 79 76 $5.59
82465 77 75 $4.23