Medicaid Provider Spending

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

SAGAPONACK MEDICAL PC

NPI: 1407351646 · SAG HARBOR, NY 11963 · Medical Specialty Clinic/Center · NPI assigned 03/29/2018

$99K
Total Medicaid Paid
1,062
Total Claims
1,039
Beneficiaries
6
Codes Billed
2018-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHALSEY, MARK (PRESIDENT)
NPI Enumeration Date03/29/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 29 $3K
2019 214 $17K
2020 369 $30K
2021 257 $28K
2022 128 $13K
2023 25 $3K
2024 40 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 653 633 $53K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 182 181 $23K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 156 154 $17K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 43 43 $3K
17110 14 14 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 14 $644.97