Medicaid Provider Spending

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

ELIE MANSOUR, MD, PC

NPI: 1366483299 · LA FOLLETTE, TN 37766 · Pulmonary Disease Physician · NPI assigned 06/10/2006

$140K
Total Medicaid Paid
12,573
Total Claims
6,597
Beneficiaries
15
Codes Billed
2020-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMANSOUR, ELIE (OWNER)
NPI Enumeration Date06/10/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 182 $2K
2021 3,988 $36K
2022 3,839 $49K
2023 3,206 $35K
2024 1,358 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,642 2,218 $42K
99233 Prolong inpt eval add15 m 1,286 262 $24K
99232 Subsequent hospital care, per day, moderate complexity 4,530 558 $22K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,043 870 $20K
99223 Prolong inpt eval add15 m 573 441 $14K
99308 Subsequent nursing facility care, per day, straightforward 557 513 $7K
99307 947 874 $7K
90688 264 235 $1K
94010 157 136 $512.51
99309 Subsequent nursing facility care, per day, low to moderate complexity 25 25 $458.53
G0008 Administration of influenza virus vaccine 274 237 $410.78
94729 127 110 $389.52
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 87 70 $258.47
90658 48 36 $162.84
36415 Collection of venous blood by venipuncture 13 12 $16.75