Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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1396828331

NPI: 1396828331

Deactivated NPI · This NPI was deactivated on 12/01/2024.
$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 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 1,621 1,574 $50K
99344 402 400 $40K
99497 425 405 $26K
99454 833 804 $21K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 475 396 $18K
99457 910 901 $14K
99348 354 336 $13K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 823 786 $11K
99345 Prolong home eval add 15m 55 55 $8K
99496 31 31 $5K
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 316 312 $5K
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 404 392 $4K
96127 449 436 $3K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 4,005 3,705 $3K
99401 223 217 $2K
99402 210 199 $2K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 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 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 134 134 $1K
90674 206 203 $1K
0518F 2,900 2,730 $1K
G8754 Most recent diastolic blood pressure < 90 mmhg 2,399 2,254 $1K
99453 123 123 $1K
G0008 Administration of influenza virus vaccine 252 248 $1K
1003F 3,902 3,625 $997.19
1101F 746 706 $989.15
G8734 Elder maltreatment screen documented as negative, follow-up is not required 580 547 $954.31
G9903 Patient screened for tobacco use and identified as a tobacco non-user 613 579 $855.22
3288F 4,795 4,423 $831.86
1126F 3,850 3,618 $818.41
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 1,274 1,200 $805.35
G8753 Most recent systolic blood pressure >= 140 mmhg 983 931 $625.32
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 2,042 1,897 $624.59
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 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 Patient not eligible due to active diagnosis of hypertension 114 109 $262.05
1170F 7,311 6,688 $261.77
99051 1,053 975 $257.97
99050 97 90 $247.15
G8752 Most recent systolic blood pressure < 140 mmhg 1,702 1,619 $172.50
90682 40 40 $160.11
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 16 16 $126.24
94760 1,996 1,900 $117.95
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 42 42 $115.39
1159F 7,607 7,091 $111.63
36415 Collection of venous blood by venipuncture 135 131 $99.25
99439 41 41 $0.00
4008F 230 221 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 17 16 $0.00
3075F 366 360 $0.00
3079F 297 292 $0.00
3008F 1,435 1,370 $0.00
G9459 Currently a tobacco non-user 931 890 $0.00
0509F 999 943 $0.00
1125F 2,005 1,880 $0.00
G9273 Blood pressure has a systolic value of < 140 and a diastolic value of < 90 429 421 $0.00
3037F 531 518 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 395 388 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 627 592 $0.00
3074F 1,095 1,047 $0.00
3044F 186 182 $0.00
1123F 54 54 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 118 114 $0.00
3080F 65 64 $0.00
1034F 239 224 $0.00
1157F 620 593 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 207 198 $0.00
G8478 Blood pressure measurement not performed or documented, reason not given 14 14 $0.00
4010F 43 42 $0.00
1158F 1,618 1,537 $0.00
3077F 414 397 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 248 237 $0.00
4004F 60 55 $0.00
4274F 217 215 $0.00
4040F 75 74 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 661 626 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 245 232 $0.00
3028F 25 25 $0.00
1124F 12 12 $0.00
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg 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