Medicaid Provider Spending

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

RUMMEL, JAMES

NPI: 1346520525 · SHARON, PA 16146 · Family Medicine Physician · NPI assigned 08/19/2011

$257K
Total Medicaid Paid
2,981
Total Claims
2,755
Beneficiaries
6
Codes Billed
2018-02
First Month
2023-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 31 $836.73
2019 40 $384.59
2020 12 $668.15
2021 1,112 $86K
2022 1,223 $107K
2023 563 $61K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 1,436 1,279 $255K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 567 551 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 519 487 $0.00
3008F 406 387 $0.00
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 26 24 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 27 27 $0.00