Medicaid Provider Spending

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

GIROUX, JOHN

NPI: 1396774485 · ALTON, IL 62002 · Pediatrics Physician · NPI assigned 07/01/2006

$1.23M
Total Medicaid Paid
10,947
Total Claims
10,517
Beneficiaries
16
Codes Billed
2018-01
First Month
2022-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,337 $622K
2019 4,019 $445K
2020 1,078 $142K
2021 300 $12K
2022 213 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,385 1,367 $234K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,432 1,400 $218K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,339 1,315 $215K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,537 1,490 $189K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 704 682 $120K
92551 1,644 1,605 $71K
99173 881 863 $67K
99381 179 179 $37K
99283 Emergency department visit for the evaluation and management, moderate severity 826 687 $32K
99282 Emergency department visit for the evaluation and management, low to moderate severity 535 461 $14K
90670 277 273 $13K
90681 51 51 $7K
90723 40 40 $5K
99462 39 26 $4K
90648 65 65 $3K
99460 13 13 $2K