Medicaid Provider Spending

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

EAST BERNSTADT MEDICAL CLINIC PLLC

NPI: 1336109644 · ANNVILLE, KY 40402 · Internal Medicine Physician · NPI assigned 03/23/2006

$1.36M
Total Medicaid Paid
76,798
Total Claims
58,653
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOHNSON, CARLA (BILLING/CREDENTIALING CLERK)
NPI Enumeration Date03/23/2006

Related Entities

Other providers sharing the same authorized official: JOHNSON, CARLA

ProviderCityStateTotal Paid
ANNVILLE-KY ADULT DAYCARE, LLC ANNVILLE KY $8.83M
IREDELL PHYSICIAN NETWORK LLC STATESVILLE NC $2.31M
EAST BERNSTADT MEDICAL CLINIC PLLC MANCHESTER KY $874K
EAST BERNSTADT MEDICAL CLINIC PLLC LONDON KY $830K
EAST BERNSTADT MEDICAL CLINIC PLLC MCKEE KY $825K
IREDELL PHYSICIAN NETWORK LLC STATESVILLE NC $772.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,539 $193K
2019 9,806 $205K
2020 8,297 $155K
2021 10,774 $153K
2022 14,037 $227K
2023 14,816 $252K
2024 9,529 $175K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38,490 30,524 $1.06M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 8,573 5,117 $84K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,957 1,573 $72K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,889 4,984 $55K
99308 Subsequent nursing facility care, per day, straightforward 876 671 $23K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,778 816 $17K
36415 Collection of venous blood by venipuncture 4,901 3,885 $13K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,624 1,172 $11K
99441 274 186 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 68 64 $5K
99215 Prolong outpt/office vis 90 83 $5K
99443 82 55 $3K
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 404 291 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 31 27 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 318 170 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,977 2,213 $1K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 34 27 $448.47
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13 13 $390.00
81001 223 198 $237.52
J3490 Unclassified drugs 120 102 $196.71
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 28 17 $193.10
90661 14 14 $138.22
81000 76 69 $89.94
99072 134 102 $50.00
J1885 Injection, ketorolac tromethamine, per 15 mg 15 13 $13.46
99000 990 656 $2.81
3074F 491 424 $2.10
3078F 537 463 $1.93
3008F 1,323 1,155 $1.57
1126F 295 258 $1.41
1170F 139 132 $0.74
1125F 126 106 $0.44
3079F 117 107 $0.39
3077F 108 98 $0.14
1160F 887 743 $0.11
1159F 861 722 $0.11
3075F 72 66 $0.11
3080F 17 16 $0.10
0521F 47 41 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1,799 1,280 $0.00