Medicaid Provider Spending

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

ALLEN, MARC

NPI: 1356309892 · COMMACK, NY 11725 · Internal Medicine Physician · NPI assigned 05/03/2006

$1.45M
Total Medicaid Paid
47,684
Total Claims
41,355
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,677 $38K
2019 3,641 $65K
2020 8,269 $185K
2021 11,463 $327K
2022 8,443 $316K
2023 8,647 $322K
2024 5,544 $202K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,858 6,646 $528K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,002 4,909 $465K
94010 2,573 2,465 $66K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 517 513 $49K
92552 1,683 1,661 $42K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,125 989 $40K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 545 540 $39K
99401 2,695 2,395 $36K
93000 2,213 2,141 $30K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 376 368 $25K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 991 931 $15K
92550 1,768 1,733 $14K
99490 Ccm add 20min 1,475 1,459 $13K
99215 Prolong outpt/office vis 142 133 $13K
0202U Oncology (prostate), multianalyte, gene expression profiling 62 56 $12K
99407 630 566 $10K
99051 2,803 2,417 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 297 289 $6K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 1,263 1,248 $6K
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 453 448 $5K
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 140 137 $4K
36415 Collection of venous blood by venipuncture 4,243 4,031 $4K
90686 223 222 $4K
94690 84 84 $3K
G0444 Annual depression screening, 5 to 15 minutes 1,291 1,270 $2K
90756 112 108 $2K
0012A 45 44 $2K
0013A 46 46 $2K
90674 89 89 $2K
90750 12 12 $2K
93923 12 12 $1K
0011A 42 42 $1K
99058 1,961 1,717 $967.51
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 29 27 $854.73
G9920 Screening performed and negative 195 188 $655.56
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 47 47 $640.00
0031A 22 22 $560.28
99072 830 619 $428.90
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 133 123 $258.07
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 77 71 $89.40
81002 13 13 $21.51
94760 424 397 $14.81
99429 91 76 $0.00
91301 52 51 $0.00