Medicaid Provider Spending

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

PEARL, SHERYL

NPI: 1336164235 · BROOKLYN, NY 11201 · Family Medicine Physician · NPI assigned 07/12/2006

$53K
Total Medicaid Paid
9,878
Total Claims
8,957
Beneficiaries
16
Codes Billed
2018-02
First Month
2023-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 233 $1K
2019 1,157 $6K
2020 1,824 $9K
2021 2,280 $4K
2022 3,545 $20K
2023 839 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99308 Subsequent nursing facility care, per day, straightforward 1,830 1,588 $15K
99349 1,006 889 $8K
99350 Prolong home eval add 15m 988 858 $7K
99490 Ccm add 20min 2,180 2,161 $7K
99491 Ccm add 20min 1,556 1,490 $6K
99307 590 426 $3K
99497 246 235 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 60 49 $1K
99441 476 355 $1K
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 329 321 $1K
99442 106 89 $853.65
99487 Ccm add 20min 64 64 $690.23
99489 Ccm add 20min 26 26 $304.10
99437 328 313 $177.21
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 65 65 $136.46
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 28 28 $79.02