Medicaid Provider Spending

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

EASTERN NIAGARA MEDICAL GROUP

NPI: 1346796398 · LOCKPORT, NY 14094 · Internal Medicine Physician · NPI assigned 08/30/2016

$85K
Total Medicaid Paid
1,484
Total Claims
1,442
Beneficiaries
6
Codes Billed
2018-02
First Month
2019-06
Last Month

Provider Details

Authorized OfficialICKOWSKI, MICHAEL (CFO)
Parent OrganizationEASTERN NIAGARA HOSPITAL, INC
NPI Enumeration Date08/30/2016

Related Entities

Other providers sharing the same authorized official: ICKOWSKI, MICHAEL

ProviderCityStateTotal Paid
INDIANA REGIONAL MEDICAL CENTER INDIANA PA $10.63M
EASTERN NIAGARA HOSPITAL, INC LOCKPORT NY $5.05M
INDIANA REGIONAL MEDICAL CENTER INDIANA PA $84K
EASTERN NIAGARA HOSPITAL INC LOCKPORT NY $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 665 $40K
2019 819 $44K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 559 548 $47K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 631 605 $36K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 14 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 27 27 $142.78
96127 20 20 $61.13
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 233 228 $13.10