Medicaid Provider Spending

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

GILDA MARIA DE LA CALLE MD PA

NPI: 1386743896 · HIALEAH, FL 33012 · General Practice Physician · NPI assigned 09/21/2006

$478K
Total Medicaid Paid
20,963
Total Claims
18,036
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDE LA CALLE, GILDA (PRESIDENT)
NPI Enumeration Date09/21/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,072 $3K
2019 1,711 $15K
2020 973 $19K
2021 2,970 $59K
2022 6,292 $149K
2023 4,642 $149K
2024 3,303 $84K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,509 10,327 $313K
99385 785 781 $83K
99386 347 346 $47K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 241 240 $23K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 55 55 $5K
3074F 1,452 1,307 $4K
3075F 316 295 $950.05
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 26 26 $769.87
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 39 39 $654.99
3008F 1,823 1,604 $620.83
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 62 59 $445.14
1159F 219 193 $429.64
G0442 Annual alcohol misuse screening, 5 to 15 minutes 158 155 $36.95
G0444 Annual depression screening, 5 to 15 minutes 160 153 $35.77
99401 27 27 $25.13
3078F 970 875 $0.12
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 237 217 $0.05
G9665 Patients who are not currently statin therapy users or did not receive an order (prescription) for statin therapy 237 213 $0.05
3079F 217 201 $0.01
G8754 Most recent diastolic blood pressure < 90 mmhg 189 149 $0.00
1125F 26 26 $0.00
1170F 80 75 $0.00
3044F 71 70 $0.00
1101F 13 12 $0.00
2010F 26 24 $0.00
99406 19 18 $0.00
1160F 200 177 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 199 162 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 188 148 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 72 62 $0.00