Medicaid Provider Spending

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

HIGHLAND MEDICAL P.C.

NPI: 1376600304 · NYACK, NY 10960 · Family Medicine Physician · NPI assigned 01/02/2007

$2.44M
Total Medicaid Paid
36,319
Total Claims
34,187
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRADER, MICHAEL (PC OWNER/PRESIDENT)
NPI Enumeration Date01/02/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,889 $165K
2019 4,509 $322K
2020 8,043 $562K
2021 10,399 $743K
2022 8,445 $571K
2023 1,106 $53K
2024 928 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,824 9,880 $1.28M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,555 7,086 $699K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 441 440 $87K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 498 496 $83K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 520 519 $69K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 285 285 $40K
99233 Prolong inpt eval add15 m 341 131 $35K
96127 4,105 4,102 $26K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 295 281 $18K
93000 857 856 $16K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,323 1,227 $13K
99232 Subsequent hospital care, per day, moderate complexity 173 55 $12K
36415 Collection of venous blood by venipuncture 6,994 6,788 $12K
99385 45 45 $7K
99222 Initial hospital care, per day, moderate complexity 53 53 $7K
90682 102 102 $6K
G0444 Annual depression screening, 5 to 15 minutes 288 273 $4K
99223 Prolong inpt eval add15 m 14 14 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 24 24 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 31 27 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity 27 24 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 249 245 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 132 127 $2K
81002 598 592 $2K
99239 Hospital discharge day management, more than 30 minutes 13 12 $1K
81000 324 299 $1K
90686 42 42 $875.18
94060 13 13 $711.40
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 56 54 $703.36
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 45 45 $689.94
0012A 13 13 $478.22
99442 14 12 $447.72
0011A 13 13 $373.50
90756 12 12 $199.73