Medicaid Provider Spending

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

BLANCHE, MERCEDES

NPI: 1396905055 · NEWBURGH, NY 12550 · Pediatrics Physician · NPI assigned 06/16/2008

$1.58M
Total Medicaid Paid
66,234
Total Claims
62,587
Beneficiaries
61
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,988 $241K
2019 10,882 $303K
2020 11,063 $263K
2021 11,692 $287K
2022 9,449 $206K
2023 7,320 $139K
2024 6,840 $138K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,115 8,366 $581K
90460 Immunization administration through 18 years of age via any route, first or only component 7,017 6,502 $133K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,585 4,352 $132K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,684 1,681 $116K
92587 5,220 5,192 $110K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,399 1,399 $99K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,474 1,350 $94K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 825 824 $64K
99401 6,345 6,110 $40K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,145 1,129 $37K
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 3,164 3,162 $26K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 283 262 $23K
90461 1,388 1,379 $22K
99173 3,430 3,427 $15K
99188 882 881 $15K
4124F 600 564 $12K
36415 Collection of venous blood by venipuncture 4,017 3,905 $7K
83655 1,213 1,206 $6K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 961 961 $5K
36406 401 391 $5K
99354 83 79 $4K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 41 41 $4K
D1206 Topical application of fluoride varnish 127 127 $4K
86804 281 274 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 259 239 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 182 176 $3K
86756 409 393 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 639 639 $2K
99422 97 88 $2K
94664 168 158 $1K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 62 62 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 376 373 $1K
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 258 238 $545.15
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 900 890 $428.28
99421 19 17 $214.31
A7016 Dome and mouthpiece, used with small volume ultrasonic nebulizer 64 60 $165.49
81003 64 59 $108.00
94760 142 134 $53.64
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 51 47 $46.07
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 223 212 $38.72
90686 2,737 2,735 $0.00
90651 97 97 $0.00
90680 222 222 $0.00
90620 24 24 $0.00
90677 113 113 $0.00
90660 52 52 $0.00
90656 179 178 $0.00
90698 140 140 $0.00
90744 42 42 $0.00
90672 120 120 $0.00
90633 252 252 $0.00
90670 573 572 $0.00
99072 208 203 $0.00
90710 38 38 $0.00
90671 101 101 $0.00
99080 542 148 $0.00
90685 99 99 $0.00
90681 13 13 $0.00
90707 37 37 $0.00
90734 26 26 $0.00
90648 26 26 $0.00