Medicaid Provider Spending

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

WILLIAMSBURGH INTERNAL MEDICINE P.C.

NPI: 1417237389 · BROOKLYN, NY 11211 · Internal Medicine Physician · NPI assigned 08/24/2011

$103K
Total Medicaid Paid
69,513
Total Claims
65,047
Beneficiaries
61
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARO, SIXTO (MD)
NPI Enumeration Date08/24/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,294 $24K
2019 10,629 $20K
2020 7,757 $8K
2021 7,339 $11K
2022 11,777 $15K
2023 14,609 $17K
2024 11,108 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,536 1,441 $18K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 807 795 $18K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,385 4,124 $16K
93000 1,350 1,343 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 990 982 $7K
90682 141 141 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 749 680 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 469 468 $5K
3074F 5,083 4,759 $4K
90688 281 280 $3K
3079F 2,607 2,443 $2K
3078F 2,673 2,515 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,569 1,458 $964.36
99443 957 830 $841.37
99442 986 884 $701.82
90662 205 205 $701.55
99441 1,011 952 $581.05
94760 11,399 10,319 $329.53
3075F 351 341 $242.50
82950 1,476 1,370 $229.47
A4556 Electrodes, (e.g., apnea monitor), per pair 1,306 1,300 $219.76
99397 115 115 $113.05
G0444 Annual depression screening, 5 to 15 minutes 533 525 $100.00
1159F 3,547 3,309 $45.03
1126F 2,165 2,036 $45.01
1160F 2,499 2,312 $40.01
1170F 856 819 $10.00
1125F 435 424 $5.00
1036F 3,943 3,677 $0.00
3008F 856 772 $0.00
3351F 1,736 1,665 $0.00
S9451 Exercise classes, non-physician provider, per session 3,606 3,420 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 14 14 $0.00
G8542 Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required 1,003 974 $0.00
4010F 211 194 $0.00
3048F 61 61 $0.00
S9452 Nutrition classes, non-physician provider, per session 546 487 $0.00
1101F 687 661 $0.00
2010F 41 40 $0.00
S0257 Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) 266 263 $0.00
3044F 430 419 $0.00
3061F 301 299 $0.00
3080F 12 12 $0.00
3072F 139 136 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 44 41 $0.00
2000F 83 74 $0.00
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 12 12 $0.00
1006F 16 16 $0.00
90674 17 17 $0.00
1158F 3,800 3,517 $0.00
3725F 242 219 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 89 74 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 87 78 $0.00
3511F 38 38 $0.00
0521F 214 202 $0.00
99408 105 89 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 157 138 $0.00
1090F 145 141 $0.00
G8539 Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment 59 59 $0.00
90630 15 15 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 57 53 $0.00