JONATHAN A KOST, MD LLC

$254K

Total Medicaid Paid

19,890

Total Claims

16,705

Beneficiaries

22

Codes Billed

2018-01

First Month

2024-11

Last Month

Authorized Official	KOST, JONATHAN (MEDICAL DIRECTOR)
NPI Enumeration Date	07/12/2006

Provider	City	State	Total Paid
SPINE AND PAIN INSTITUTE AT MIDSTATE LLC	MERIDEN	CT	$22K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9,016	7,180	$90K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	4,053	3,377	$87K
99454		1,871	1,673	$22K
62323		196	169	$10K
96127		435	428	$8K
99442		373	330	$7K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	183	151	$7K
27096		178	157	$6K
99457		676	635	$6K
J1040	Injection, methylprednisolone acetate, 80 mg	728	630	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	135	113	$2K
20553		98	93	$2K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	49	45	$925.86
99453		277	262	$835.04
96130		24	14	$715.14
J1030	Injection, methylprednisolone acetate, 40 mg	193	172	$413.07
20611		12	12	$255.92
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	174	160	$152.76
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	876	783	$51.60
J1010	Injection, methylprednisolone acetate, 1 mg	97	92	$38.08
J1100	Injection, dexamethasone sodium phosphate, 1 mg	13	13	$1.02
99072		233	216	$0.00

Medicaid Provider Spending