Medicaid Provider Spending

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

POOLE AND THOMAS PEDIATRICS, PLC

NPI: 1396002473 · LEXINGTON, KY 40503 · Family Nurse Practitioner · NPI assigned 04/13/2012

$171K
Total Medicaid Paid
5,951
Total Claims
5,216
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSANDEFUR, LAURA (PRACTICE ADMINISTRATOR)
NPI Enumeration Date04/13/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 737 $23K
2019 723 $22K
2020 542 $14K
2021 716 $23K
2022 1,257 $43K
2023 980 $30K
2024 996 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,604 3,214 $122K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 525 465 $28K
90460 Immunization administration through 18 years of age via any route, first or only component 508 424 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 216 104 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 97 90 $2K
90686 302 295 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 147 137 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 22 21 $349.81
87070 29 28 $175.40
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) 501 438 $0.00