Medicaid Provider Spending

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

FOX VALLEY PULMONARY MEDICINE, S.C.

NPI: 1366506016 · APPLETON, WI 54911 · Critical Care Medicine (Internal Medicine) Physician · NPI assigned 12/20/2006

$189K
Total Medicaid Paid
10,101
Total Claims
8,661
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMAGUIRE, MICHAEL (PARTNER)
NPI Enumeration Date12/20/2006

Related Entities

Other providers sharing the same authorized official: MAGUIRE, MICHAEL

ProviderCityStateTotal Paid
MICHAEL FLYNN MAGUIRE MD INC SANTA BARBARA CA $886K
MAGUIRE & WELSH MEDICAL GROUP WHITTIER CA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 605 $11K
2019 816 $13K
2020 522 $9K
2021 1,900 $35K
2022 2,218 $43K
2023 2,638 $49K
2024 1,402 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,477 1,363 $35K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 1,109 599 $31K
94729 2,458 2,173 $26K
94060 1,457 1,294 $22K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,117 1,035 $21K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 354 322 $18K
94726 1,069 954 $12K
95806 68 61 $6K
94010 377 328 $5K
95810 Polysomnography; sleep staging with 4 or more additional parameters 69 63 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 402 367 $4K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 62 24 $4K
95811 13 13 $767.26
99215 Prolong outpt/office vis 14 12 $691.24
88738 15 13 $35.14
1036F 13 13 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 27 27 $0.00