Medicaid Provider Spending

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

GERALD FAMILY CARE

NPI: 1407056336 · WASHINGTON, DC 20017 · Family Medicine Physician · NPI assigned 07/19/2007

$3.19M
Total Medicaid Paid
84,870
Total Claims
72,877
Beneficiaries
66
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTEWART, KIMBERLY (BILLING MANAGER)
NPI Enumeration Date07/19/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,979 $487K
2019 9,438 $385K
2020 10,969 $502K
2021 10,246 $358K
2022 14,226 $471K
2023 16,698 $558K
2024 12,314 $433K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,153 16,910 $1.56M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,018 18,081 $1.25M
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,743 1,628 $193K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,013 951 $105K
96127 5,987 5,443 $24K
99408 275 257 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 224 212 $7K
3008F 14,765 12,162 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 345 305 $5K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 459 367 $4K
90674 284 225 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 32 31 $3K
99442 195 167 $3K
90686 191 177 $3K
99496 14 14 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 69 67 $3K
3074F 4,221 3,528 $2K
99383 17 17 $2K
99385 17 15 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 121 101 $2K
96160 641 563 $1K
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 103 85 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 14 12 $930.24
99401 60 57 $698.50
3078F 6,127 5,162 $621.00
36415 Collection of venous blood by venipuncture 299 277 $603.97
94010 22 17 $407.97
99443 18 15 $329.13
90460 Immunization administration through 18 years of age via any route, first or only component 13 12 $272.82
99058 20 15 $183.00
99406 14 13 $178.00
99173 40 40 $146.28
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 12 $144.30
3075F 438 367 $128.00
99000 185 176 $92.40
90694 24 16 $87.07
3044F 105 87 $49.00
G0444 Annual depression screening, 5 to 15 minutes 293 225 $34.57
3079F 861 738 $9.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 29 25 $0.01
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,658 1,363 $0.00
1126F 135 102 $0.00
1170F 265 194 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 290 213 $0.00
1125F 60 49 $0.00
1101F 53 40 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 17 17 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 32 15 $0.00
3017F 41 18 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 15 15 $0.00
3077F 135 111 $0.00
99497 197 147 $0.00
3288F 310 230 $0.00
1090F 237 173 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 45 40 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 555 480 $0.00
G8482 Influenza immunization administered or previously received 104 94 $0.00
99499 531 500 $0.00
1160F 125 80 $0.00
1158F 89 59 $0.00
4004F 155 107 $0.00
1159F 123 79 $0.00
G2010 Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment 76 65 $0.00
G9919 Screening performed and positive and provision of recommendations 27 18 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 17 15 $0.00
G0008 Administration of influenza virus vaccine 115 81 $-36.93