Medicaid Provider Spending

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

CARRUTH, JOHN

NPI: 1346337821 · SAN JUAN CAPISTRANO, CA 92675 · Pediatrics Physician · NPI assigned 10/06/2006

$253K
Total Medicaid Paid
15,958
Total Claims
14,790
Beneficiaries
34
Codes Billed
2018-01
First Month
2022-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,426 $34K
2019 3,089 $37K
2020 3,068 $63K
2021 3,177 $64K
2022 3,198 $56K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96156 1,165 1,139 $117K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,260 2,676 $43K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,497 1,224 $32K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 274 262 $18K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 205 199 $11K
92551 888 867 $11K
96150 443 433 $10K
90686 411 405 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 53 39 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14 12 $798.30
81002 1,097 1,057 $557.95
99000 203 198 $522.76
96127 376 368 $396.65
83655 17 17 $359.20
90658 19 19 $171.00
85018 94 92 $160.81
87430 12 12 $158.65
81000 55 53 $124.74
G8510 Screening for depression is documented as negative, a follow-up plan is not required 37 37 $100.00
94760 48 40 $72.10
99406 14 14 $11.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 64 64 $5.00
3008F 979 976 $0.00
S9452 Nutrition classes, non-physician provider, per session 305 304 $0.00
2000F 353 350 $0.00
S9451 Exercise classes, non-physician provider, per session 308 307 $0.00
1031F 12 12 $0.00
1030F 65 65 $0.00
1033F 756 753 $0.00
4120F 518 493 $0.00
99173 656 647 $0.00
4124F 1,702 1,598 $0.00
3725F 46 46 $0.00
3511F 12 12 $0.00