Medicaid Provider Spending

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

PROPHETE, ROBERT

NPI: 1376547802 · SAINT LOUIS, MO 63119 · Urology Physician · NPI assigned 06/13/2005

$97K
Total Medicaid Paid
3,224
Total Claims
2,911
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 649 $18K
2019 322 $7K
2020 374 $9K
2021 653 $16K
2022 519 $17K
2023 378 $16K
2024 329 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 918 851 $41K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,689 1,485 $37K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 107 106 $7K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 81 80 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 43 40 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 74 74 $2K
99201 63 63 $2K
81003 221 186 $479.12
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 28 26 $325.56