Medicaid Provider Spending

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

ENGLISH ROAD PEDIATRICS AND ADOLESCENT MEDICINE

NPI: 1346395126 · ROCHESTER, NY 14616 · 208000000X

$8.05M
Total Medicaid Paid
162,704
Total Claims
158,821
Beneficiaries
57
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,117 $542K
2019 15,949 $722K
2020 24,559 $1.07M
2021 29,346 $1.39M
2022 31,101 $1.59M
2023 27,497 $1.51M
2024 23,135 $1.22M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 45,406 42,985 $2.96M
99214 11,651 11,298 $1.13M
90460 22,356 22,080 $833K
87637 5,164 5,103 $782K
99393 6,079 6,079 $561K
99392 5,901 5,901 $559K
99394 3,072 3,072 $306K
99391 3,190 2,985 $283K
87651 4,549 4,491 $127K
99051 13,635 13,316 $116K
92551 14,787 14,782 $106K
90471 2,404 2,390 $43K
H0049 Alcohol/drug screening 1,137 1,137 $37K
87635 607 600 $31K
G8510 Scr dep neg, no plan reqd 1,165 1,164 $18K
99173 9,922 9,914 $18K
96127 2,882 2,870 $13K
0072A 288 288 $12K
87880 808 802 $10K
0002A 258 257 $10K
0071A 267 267 $10K
G2211 Complex e/m visit add on 580 527 $9K
96110 710 709 $9K
0001A 207 206 $8K
99050 368 340 $8K
87502 83 82 $7K
96160 2,239 2,238 $5K
99354 29 26 $3K
G2023 Specimen collect covid-19 211 209 $3K
96161 1,030 997 $2K
90686 521 521 $2K
83655 124 124 $2K
0003A 42 42 $2K
90480 43 42 $2K
90472 92 90 $2K
99211 86 83 $2K
87400 113 112 $1K
99395 12 12 $1K
87631 12 12 $1K
0012A 29 29 $1K
0124A 28 28 $1K
0011A 26 26 $1K
99212 19 18 $818.76
0082A 16 16 $640.00
80061 65 65 $629.07
0052A 15 15 $604.26
0083A 15 15 $581.88
0053A 14 14 $572.78
0081A 12 12 $480.00
85018 174 174 $400.51
98966 31 30 $377.84
90656 34 34 $214.91
99177 27 27 $86.73
J8540 Oral dexamethasone 29 27 $31.82
99000 76 76 $0.00
91307 52 50 $0.00
90713 12 12 $0.00