Medicaid Provider Spending

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

HIGHGATE MEDICAL GROUP

NPI: 1326158593 · AMHERST, NY 14228 · Family Medicine Physician · NPI assigned 08/30/2006

$172K
Total Medicaid Paid
11,669
Total Claims
11,318
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPAWLOWSKI, DAVID (PRESIDENT)
NPI Enumeration Date08/30/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,218 $27K
2019 2,176 $45K
2020 2,452 $24K
2021 1,923 $16K
2022 1,108 $22K
2023 2,291 $28K
2024 501 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,487 4,353 $108K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 851 833 $31K
99442 625 597 $8K
99309 Subsequent nursing facility care, per day, low to moderate complexity 113 49 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 557 551 $5K
90688 282 280 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 112 112 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 81 81 $3K
96127 1,668 1,664 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 13 13 $574.43
99441 56 51 $482.26
99443 42 41 $404.69
99385 12 12 $259.48
3074F 1,001 981 $80.00
94760 171 167 $50.02
3078F 337 332 $20.00
3079F 186 182 $20.00
99080 403 358 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 404 395 $0.00
3016F 203 203 $0.00
G8482 Influenza immunization administered or previously received 53 51 $0.00
G8484 Influenza immunization was not administered, reason not given 12 12 $0.00