Medicaid Provider Spending

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

1396703237

NPI: 1396703237

Deactivated NPI · This NPI was deactivated on 08/08/2024.
$292K
Total Medicaid Paid
14,532
Total Claims
12,700
Beneficiaries
30
Codes Billed
2018-01
First Month
2022-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,390 $61K
2019 4,776 $57K
2020 2,332 $45K
2021 1,655 $67K
2022 1,379 $62K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,225 1,910 $152K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,932 2,609 $115K
93000 1,981 1,741 $14K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 106 88 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 32 28 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 52 38 $2K
99215 Prolong outpt/office vis 18 15 $604.79
99199 Unlisted special service, procedure or report 83 83 $425.00
1036F 437 368 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 625 546 $0.00
3017F 352 323 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 385 333 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 266 227 $0.00
G8432 Depression screening not documented, reason not given 665 576 $0.00
1123F 132 114 $0.00
1101F 148 127 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 197 170 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 27 27 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 15 15 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 1,082 939 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 325 290 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,166 1,023 $0.00
G8484 Influenza immunization was not administered, reason not given 347 292 $0.00
G8598 Aspirin or another antiplatelet therapy used 81 78 $0.00
G8442 Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter 514 438 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 89 84 $0.00
1090F 45 36 $0.00
4040F 160 141 $0.00
G8509 Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given 17 13 $0.00
4004F 28 28 $0.00