Medicaid Provider Spending

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

PULMONARY AND MEDICINE ASSOCIATES

NPI: 1417174319 · WARREN, MI 48088 · Family Medicine Physician · NPI assigned 04/20/2007

$2.34M
Total Medicaid Paid
34,036
Total Claims
19,800
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFLINT, AMBER (OFFICE MANAGER)
NPI Enumeration Date04/20/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,417 $266K
2019 4,323 $266K
2020 4,693 $337K
2021 6,545 $457K
2022 3,948 $328K
2023 4,557 $354K
2024 4,553 $327K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 9,524 3,126 $1.14M
99233 Prolong inpt eval add15 m 7,094 2,865 $403K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,592 3,355 $268K
99223 Prolong inpt eval add15 m 2,027 1,867 $204K
99232 Subsequent hospital care, per day, moderate complexity 4,351 1,679 $163K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,677 1,559 $91K
99309 Subsequent nursing facility care, per day, low to moderate complexity 390 330 $19K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 149 148 $14K
94729 404 396 $7K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 78 78 $7K
94060 353 347 $5K
99308 Subsequent nursing facility care, per day, straightforward 99 87 $4K
94726 168 163 $2K
99406 296 191 $2K
36620 59 55 $1K
36415 Collection of venous blood by venipuncture 322 303 $878.75
94010 156 142 $727.34
94375 54 54 $624.96
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 14 $455.93
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 41 37 $397.97
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 49 48 $336.00
90656 13 13 $229.40
90686 13 13 $190.30
G0008 Administration of influenza virus vaccine 15 15 $103.80
94760 251 200 $60.22
3078F 588 563 $0.19
3074F 718 691 $0.18
3079F 357 345 $0.08
3075F 129 123 $0.04
3077F 44 42 $0.01
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 962 907 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 17 15 $0.00
3080F 15 14 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 17 15 $0.00