Medicaid Provider Spending

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

DEL PILAR MEDICAL & URGENT CARE PC

NPI: 1417031907 · MISHAWAKA, IN 46545 · Family Medicine Physician · NPI assigned 10/24/2006

$3.63M
Total Medicaid Paid
124,908
Total Claims
96,028
Beneficiaries
80
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSLUSSER, CANDACE (CEO)
NPI Enumeration Date10/24/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,454 $214K
2019 17,346 $396K
2020 16,388 $430K
2021 16,477 $618K
2022 23,620 $705K
2023 21,808 $698K
2024 12,815 $572K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20,025 14,702 $1.42M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,006 14,615 $1.00M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,811 1,540 $215K
98927 3,186 1,901 $126K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,437 2,033 $87K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 843 763 $73K
94060 2,013 1,520 $55K
99215 Prolong outpt/office vis 620 536 $54K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,167 1,006 $53K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 564 507 $51K
98928 976 536 $45K
92552 3,996 3,512 $43K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,911 2,783 $38K
36415 Collection of venous blood by venipuncture 13,485 10,640 $38K
76536 631 577 $38K
71046 Radiologic examination, chest; 2 views 2,983 2,497 $36K
74022 1,087 957 $24K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 284 254 $23K
76700 Ultrasound, abdominal, real time with image documentation; complete 399 346 $23K
93000 2,505 2,045 $22K
80305 2,016 1,790 $20K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,534 1,292 $19K
90756 1,014 923 $17K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 379 354 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 644 462 $13K
81025 1,735 1,487 $12K
82962 6,826 4,439 $11K
81003 6,618 5,435 $10K
94010 388 331 $8K
90674 312 263 $7K
96127 1,495 1,321 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 859 784 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 43 39 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 25 14 $3K
84443 Thyroid stimulating hormone (TSH) 396 269 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 576 402 $2K
80061 Lipid panel 335 226 $2K
80053 Comprehensive metabolic panel 493 351 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,031 1,434 $2K
87807 175 153 $2K
72110 69 65 $2K
20611 23 12 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 15 14 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 198 182 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13 13 $957.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 14 $772.06
76705 Ultrasound, abdominal, real time with image documentation; limited 13 12 $674.28
87905 75 65 $495.13
90661 40 39 $455.57
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 31 30 $453.93
99406 14 12 $340.10
3044F 159 133 $340.00
90694 14 13 $242.12
74019 17 17 $238.17
90686 16 14 $217.56
92551 36 33 $198.71
83036 Hemoglobin; glycosylated (A1C) 21 18 $137.59
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 2,027 1,493 $132.08
99401 28 14 $125.45
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 86 48 $119.76
99000 46 27 $107.50
86318 14 12 $72.36
36416 49 41 $71.10
87210 44 39 $58.17
G0444 Annual depression screening, 5 to 15 minutes 19 18 $40.31
3078F 2,311 1,844 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 38 35 $0.00
3077F 606 485 $0.00
99442 24 21 $0.00
99497 18 16 $0.00
3050F 16 14 $0.00
3079F 2,455 1,889 $0.00
3074F 3,808 2,886 $0.00
3075F 922 754 $0.00
G0008 Administration of influenza virus vaccine 207 178 $0.00
3080F 510 422 $0.00
3048F 21 19 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 21 19 $0.00
85027 34 17 $0.00
99385 13 12 $0.00