Medicaid Provider Spending

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

LIM, JAMES

NPI: 1326167883 · IRWIN, PA 15642 · Family Medicine Physician · NPI assigned 03/28/2007

$899K
Total Medicaid Paid
10,741
Total Claims
10,159
Beneficiaries
10
Codes Billed
2020-11
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 246 $19K
2021 1,507 $146K
2022 2,611 $223K
2023 3,278 $291K
2024 3,099 $220K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9012 Other specified case management service not elsewhere classified 2,056 2,051 $560K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 1,612 1,558 $100K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,980 1,806 $78K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,349 1,245 $73K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 660 613 $28K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,037 1,915 $27K
G9008 Coordinated care fee, physician coordinated care oversight services 126 126 $21K
80305 860 787 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 47 44 $1K
3074F 14 14 $0.00