Medicaid Provider Spending

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

SENIOR HEALTH ASSOCIATES, P.A.

NPI: 1396893640 · WILMINGTON, NC 28401 · Family Medicine Physician · NPI assigned 01/05/2007

$713K
Total Medicaid Paid
41,720
Total Claims
27,619
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUDYK, MARY (OWNER)
NPI Enumeration Date01/05/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,611 $90K
2019 5,450 $116K
2020 6,427 $120K
2021 10,118 $196K
2022 4,729 $85K
2023 4,404 $56K
2024 2,981 $51K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 15,964 9,212 $272K
99310 Prolong nursin fac eval 15m 6,469 4,551 $169K
99308 Subsequent nursing facility care, per day, straightforward 7,278 5,029 $99K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,845 2,069 $66K
99307 5,386 3,912 $50K
99215 Prolong outpt/office vis 622 433 $20K
99306 Prolong nursin fac eval 15m 388 343 $13K
99316 292 272 $6K
99232 Subsequent hospital care, per day, moderate complexity 402 108 $6K
99199 Unlisted special service, procedure or report 1,159 1,110 $5K
99233 Prolong inpt eval add15 m 366 151 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 327 263 $3K
99223 Prolong inpt eval add15 m 32 30 $934.31
99239 Hospital discharge day management, more than 30 minutes 38 27 $234.48
99318 25 15 $171.00
99497 33 29 $166.27
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 25 21 $105.04
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 21 20 $52.20
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 24 12 $47.45
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 24 12 $0.25