Medicaid Provider Spending

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

SOUTHWEST FLORIDA MEDICINE PLLC

NPI: 1356886790 · BRADENTON, FL 34209 · Family Medicine Physician · NPI assigned 12/20/2016

$142K
Total Medicaid Paid
16,837
Total Claims
7,102
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLALANI, PARVEEN (OFFICE MANAGER)
NPI Enumeration Date12/20/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 578 $773.58
2019 1,922 $19K
2020 3,557 $23K
2021 3,021 $22K
2022 2,529 $35K
2023 3,685 $29K
2024 1,545 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,502 2,141 $69K
99309 Subsequent nursing facility care, per day, low to moderate complexity 10,592 3,573 $49K
99215 Prolong outpt/office vis 237 155 $7K
99310 Prolong nursin fac eval 15m 751 316 $6K
99349 94 74 $5K
99233 Prolong inpt eval add15 m 195 58 $2K
90792 Psychiatric diagnostic evaluation with medical services 41 28 $1K
99490 Ccm add 20min 31 27 $391.10
G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) 809 349 $180.89
99232 Subsequent hospital care, per day, moderate complexity 52 18 $137.88
99421 207 131 $82.56
99318 40 27 $57.18
99441 19 13 $20.08
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 45 28 $18.44
99442 15 12 $17.95
90785 24 13 $3.58
3288F 31 25 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 31 25 $0.00
0518F 19 13 $0.00
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 23 13 $0.00
1101F 18 13 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 15 12 $0.00
1036F 14 12 $0.00
1125F 16 13 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 16 13 $0.00