Medicaid Provider Spending

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

KALODNER, DAVID

NPI: 1407231392 · SUNBURY, PA 17801 · Family Medicine Physician · NPI assigned 07/21/2015

$410K
Total Medicaid Paid
12,267
Total Claims
11,296
Beneficiaries
29
Codes Billed
2020-10
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 152 $6K
2021 1,009 $39K
2022 3,482 $120K
2023 4,175 $135K
2024 3,449 $110K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,882 5,124 $213K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,025 1,924 $108K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 188 178 $19K
80061 Lipid panel 768 755 $11K
80053 Comprehensive metabolic panel 756 741 $9K
80050 General health panel 163 160 $8K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 72 69 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 70 70 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 151 145 $6K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 414 395 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 40 40 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 512 503 $3K
G0008 Administration of influenza virus vaccine 245 239 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 50 49 $2K
87070 172 165 $1K
83036 Hemoglobin; glycosylated (A1C) 181 179 $1K
81001 189 176 $573.13
87430 66 63 $457.38
93000 13 13 $274.82
84443 Thyroid stimulating hormone (TSH) 12 12 $248.30
90651 13 13 $157.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $156.47
99173 12 12 $79.20
90674 22 22 $0.00
G9919 Screening performed and positive and provision of recommendations 13 13 $0.00
G9920 Screening performed and negative 167 165 $0.00
90756 27 27 $0.00
99490 Ccm add 20min 13 13 $0.00
90658 19 19 $0.00