Medicaid Provider Spending

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

NIGAM, KUSUM

NPI: 1386683167 · LOUISVILLE, KY 40202 · Internal Medicine Physician · NPI assigned 06/06/2006

$577K
Total Medicaid Paid
40,442
Total Claims
34,285
Beneficiaries
59
Codes Billed
2018-01
First Month
2021-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,554 $199K
2019 13,534 $138K
2020 5,852 $136K
2021 4,502 $105K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,272 3,778 $201K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,630 4,765 $180K
99490 Ccm add 20min 1,973 1,843 $49K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 244 229 $22K
99173 375 356 $16K
99232 Subsequent hospital care, per day, moderate complexity 596 259 $13K
99223 Prolong inpt eval add15 m 183 159 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 954 838 $12K
99239 Hospital discharge day management, more than 30 minutes 302 260 $12K
99429 169 166 $11K
90688 586 541 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 525 488 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 72 71 $6K
80305 550 498 $5K
99406 753 671 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 50 45 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 27 27 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 107 69 $2K
99401 338 299 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 105 100 $1K
81002 684 614 $1K
96127 353 338 $1K
99407 36 31 $482.69
99233 Prolong inpt eval add15 m 19 13 $471.08
90686 33 30 $441.59
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 71 65 $379.85
99072 35 30 $362.50
J1885 Injection, ketorolac tromethamine, per 15 mg 120 107 $283.14
G0444 Annual depression screening, 5 to 15 minutes 412 373 $242.01
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 15 15 $160.59
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 28 28 $140.39
81025 15 14 $121.05
3079F 1,166 1,031 $0.24
3077F 277 251 $0.10
3074F 1,897 1,573 $0.09
1160F 4,231 3,428 $0.07
3075F 396 373 $0.07
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 778 557 $0.05
3008F 1,511 1,309 $0.05
1159F 4,117 3,346 $0.02
3080F 29 24 $0.02
3725F 342 322 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,667 1,301 $0.00
3078F 1,501 1,269 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 300 195 $0.00
888888 115 103 $0.00
3050F 112 97 $0.00
3089F 16 15 $0.00
3049F 131 119 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 504 403 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 357 228 $0.00
1036F 62 56 $0.00
1034F 326 300 $0.00
1170F 147 134 $0.00
3048F 336 287 $0.00
4000F 151 132 $0.00
4037F 145 139 $0.00
3044F 91 77 $0.00
1126F 105 96 $0.00