Medicaid Provider Spending

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

1396828331

NPI: 1396828331

$781K
Total Medicaid Paid
111,077
Total Claims
104,088
Beneficiaries
96
Codes Billed
2018-01
First Month
2021-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,276 $284K
2019 45,042 $303K
2020 36,531 $189K
2021 10,228 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99349 7,266 6,692 $422K
99350 Prolong home eval add 15m 1,310 1,243 $106K
G0181 Home health care supervision 1,621 1,574 $50K
99344 402 400 $40K
99497 425 405 $26K
99454 833 804 $21K
99213 475 396 $18K
99457 910 901 $14K
99348 354 336 $13K
G0108 Diab manage trn per indiv 823 786 $11K
99345 Prolong home eval add 15m 55 55 $8K
99496 31 31 $5K
G0180 Md certification hha patient 316 312 $5K
G0446 Intens behave ther cardio dx 404 392 $4K
96127 449 436 $3K
G8427 Docrev cur meds by elig clin 4,005 3,705 $3K
99401 223 217 $2K
99402 210 199 $2K
G0179 Md recertification hha pt 246 242 $2K
99406 110 100 $2K
1036F 4,874 4,613 $1K
1090F 4,975 4,564 $1K
1494F 7,056 6,447 $1K
90471 134 134 $1K
90674 206 203 $1K
0518F 2,900 2,730 $1K
G8754 Dias bp less 90 2,399 2,254 $1K
99453 123 123 $1K
G0008 Admin influenza virus vac 252 248 $1K
1003F 3,902 3,625 $997.19
1101F 746 706 $989.15
G8734 Doc neg eld req 580 547 $954.31
G9903 Pt scrn tbco id as non user 613 579 $855.22
3288F 4,795 4,423 $831.86
1126F 3,850 3,618 $818.41
G8950 Pre-htn or htn doc, f/u indc 1,274 1,200 $805.35
G8753 Sys bp > or = 140 983 931 $625.32
G8731 Pain neg no plan 2,042 1,897 $624.59
99203 13 13 $580.62
1111F 527 493 $476.85
3725F 666 629 $453.46
1160F 7,380 6,907 $453.46
90686 142 139 $416.16
93000 27 27 $405.43
1091F 394 383 $363.55
0521F 2,222 2,096 $356.00
G9744 Pt not eli d/t act dig htn 114 109 $262.05
1170F 7,311 6,688 $261.77
99051 1,053 975 $257.97
99050 97 90 $247.15
G8752 Sys bp less 140 1,702 1,619 $172.50
90682 40 40 $160.11
G0447 Behavior counsel obesity 15m 16 16 $126.24
94760 1,996 1,900 $117.95
87880 42 42 $115.39
1159F 7,607 7,091 $111.63
36415 135 131 $99.25
99439 41 41 $0.00
4008F 230 221 $0.00
G8510 Scr dep neg, no plan reqd 17 16 $0.00
3075F 366 360 $0.00
3079F 297 292 $0.00
3008F 1,435 1,370 $0.00
G9459 Tob non-user 931 890 $0.00
0509F 999 943 $0.00
1125F 2,005 1,880 $0.00
G9273 Sys<140 and dia<90 429 421 $0.00
3037F 531 518 $0.00
G8419 Calc bmi out nrm param nof/u 395 388 $0.00
G8420 Calc bmi norm parameters 627 592 $0.00
3074F 1,095 1,047 $0.00
3044F 186 182 $0.00
1123F 54 54 $0.00
G8418 Calc bmi blw low param f/u 118 114 $0.00
3080F 65 64 $0.00
1034F 239 224 $0.00
1157F 620 593 $0.00
G8755 Dias bp > or = 90 207 198 $0.00
G8478 Bp not performed/doc 14 14 $0.00
4010F 43 42 $0.00
1158F 1,618 1,537 $0.00
3077F 414 397 $0.00
G8417 Calc bmi abv up param f/u 248 237 $0.00
4004F 60 55 $0.00
4274F 217 215 $0.00
4040F 75 74 $0.00
G8730 Pain doc pos and plan 661 626 $0.00
G8783 Bp scrn perf rec interval 245 232 $0.00
3028F 25 25 $0.00
1124F 12 12 $0.00
G8476 Bp sys <140 and dias <90 65 64 $0.00
3078F 1,716 1,631 $0.00
99072 14 14 $0.00
4013F 1,078 1,022 $0.00
94664 15 15 $0.00
1033F 14 12 $0.00