Medicaid Provider Spending

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

ATLANTIC FAMILY PHYSICIANS, LLC

NPI: 1346668886 · GEORGETOWN, DE 19947 · Family Medicine Physician · NPI assigned 04/02/2014

$352K
Total Medicaid Paid
18,188
Total Claims
13,139
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialALARCON, FABRICIO (OWNER)
NPI Enumeration Date04/02/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,040 $8K
2019 3,146 $32K
2020 1,579 $68K
2021 1,700 $58K
2022 2,054 $89K
2023 4,048 $62K
2024 3,621 $34K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,180 4,288 $192K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,306 2,184 $105K
99442 503 422 $21K
99336 447 281 $19K
99348 325 209 $5K
80305 1,236 824 $4K
99490 Ccm add 20min 472 359 $3K
99337 13 12 $575.46
99443 16 12 $531.15
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 100 80 $367.42
0012A 15 14 $320.00
0011A 16 13 $200.00
90756 80 52 $172.45
H0049 Alcohol and/or drug screening 35 27 $165.42
99406 18 13 $163.44
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $129.08
93000 32 25 $59.76
91301 28 24 $0.07
1101F 286 228 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 42 34 $0.00
3008F 1,092 872 $0.00
3074F 833 680 $0.00
3079F 66 52 $0.00
3075F 28 25 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 144 114 $0.00
3078F 858 708 $0.00
1160F 898 713 $0.00
3288F 133 89 $0.00
1159F 899 714 $0.00
1100F 37 29 $0.00
0518F 38 30 $0.00