Medicaid Provider Spending

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

PRIMARY CARE CLINIC OF RIPLEY PA

NPI: 1356312623 · NEW ALBANY, MS 38652 · Endocrinology, Diabetes & Metabolism Physician · NPI assigned 01/27/2006

$672K
Total Medicaid Paid
20,278
Total Claims
17,957
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCAPPLEMAN, TROY (AO)
NPI Enumeration Date01/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,978 $122K
2019 3,953 $118K
2020 2,955 $107K
2021 3,218 $118K
2022 3,884 $104K
2023 1,446 $63K
2024 844 $40K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,507 8,324 $426K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,044 5,327 $216K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 93 90 $6K
99490 Ccm add 20min 822 799 $5K
99307 480 427 $5K
90674 388 360 $3K
83036 Hemoglobin; glycosylated (A1C) 686 644 $3K
80061 Lipid panel 464 421 $3K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 176 175 $2K
99308 Subsequent nursing facility care, per day, straightforward 68 68 $983.07
J1030 Injection, methylprednisolone acetate, 40 mg 308 294 $644.51
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 18 12 $374.22
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 33 12 $275.93
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 22 14 $247.25
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 16 14 $156.57
99231 Subsequent hospital care, per day, straightforward or low complexity 32 12 $139.74
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 12 12 $109.67
J0696 Injection, ceftriaxone sodium, per 250 mg 29 26 $29.64
90661 14 14 $22.29
99238 Hospital discharge day management, 30 minutes or less 14 13 $6.74
36415 Collection of venous blood by venipuncture 67 67 $5.40
J1100 Injection, dexamethasone sodium phosphate, 1 mg 84 76 $3.99
99497 18 16 $0.00
G0444 Annual depression screening, 5 to 15 minutes 250 232 $0.00
2028F 197 158 $0.00
3077F 36 13 $0.00
3078F 79 28 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 13 13 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 160 150 $0.00
G0008 Administration of influenza virus vaccine 148 146 $0.00