Medicaid Provider Spending

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

TRAVELING PAIN MANAGEMENT DOCTORS PSC

NPI: 1356682470 · MAPLE VALLEY, WA 98038 · Family Nurse Practitioner · NPI assigned 03/14/2013

$445K
Total Medicaid Paid
21,223
Total Claims
19,859
Beneficiaries
17
Codes Billed
2018-01
First Month
2020-05
Last Month

Provider Details

Authorized OfficialMANCUSO, TRACI (FAMILY NURSE PRACTITIONER)
NPI Enumeration Date03/14/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,233 $81K
2019 10,957 $196K
2020 7,033 $168K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99336 11,443 10,636 $329K
99337 1,110 1,048 $47K
99490 Ccm add 20min 4,114 4,060 $18K
99497 829 816 $15K
99487 Ccm add 20min 1,411 1,385 $13K
99326 133 130 $6K
99327 82 82 $5K
99483 Prolong outpt/office vis 162 161 $4K
99489 Ccm add 20min 887 504 $3K
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). 277 272 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 182 180 $2K
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 125 120 $880.84
99335 19 18 $524.28
99349 26 26 $432.25
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 22 21 $374.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 48 48 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 353 352 $0.00