Medicaid Provider Spending

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

CHAN, MELISSA

NPI: 1417912031 · NEW YORK, NY 10013 · Internal Medicine Physician · NPI assigned 04/18/2006

$327K
Total Medicaid Paid
20,033
Total Claims
18,063
Beneficiaries
63
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,692 $55K
2019 2,964 $57K
2020 1,975 $47K
2021 1,251 $43K
2022 1,559 $50K
2023 4,937 $40K
2024 5,655 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,445 3,151 $149K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,391 2,904 $143K
99490 Ccm add 20min 1,007 1,006 $13K
93000 604 599 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 249 240 $3K
90674 151 150 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 15 15 $2K
H0001 Alcohol and/or drug assessment 65 65 $2K
99401 135 131 $2K
99397 167 166 $1K
G8420 Bmi is documented within normal parameters and no follow-up plan is required 825 695 $1K
90694 73 73 $935.44
36415 Collection of venous blood by venipuncture 811 779 $717.48
96127 251 242 $705.10
99457 109 109 $458.19
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 66 58 $417.62
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 158 130 $382.32
99497 90 90 $378.24
99454 38 38 $330.77
99442 32 31 $314.28
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 148 140 $236.41
G8510 Screening for depression is documented as negative, a follow-up plan is not required 65 64 $200.46
G0444 Annual depression screening, 5 to 15 minutes 283 275 $134.24
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 913 788 $68.82
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 15 14 $46.48
99408 40 40 $34.37
3074F 714 609 $30.00
G8754 Most recent diastolic blood pressure < 90 mmhg 110 103 $25.00
3078F 870 741 $25.00
G8752 Most recent systolic blood pressure < 140 mmhg 106 101 $20.00
99000 223 214 $18.28
94760 168 149 $15.88
3079F 91 85 $5.00
1160F 1,436 1,211 $3.44
3075F 35 30 $2.50
3008F 690 614 $0.00
3048F 193 173 $0.00
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 42 42 $0.00
3044F 85 82 $0.00
1170F 22 22 $0.00
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 98 96 $0.00
G0008 Administration of influenza virus vaccine 225 216 $0.00
90654 17 17 $0.00
1220F 27 27 $0.00
4037F 41 40 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 77 77 $0.00
90677 12 12 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 26 24 $0.00
1101F 26 26 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 32 32 $0.00
M1207 Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety 19 19 $0.00
G0009 Administration of pneumococcal vaccine 12 12 $0.00
2000F 13 12 $0.00
1125F 13 13 $0.00
90662 120 120 $0.00
1159F 1,165 986 $0.00
3077F 29 24 $0.00
3288F 26 26 $0.00
3016F 12 12 $0.00
G8482 Influenza immunization administered or previously received 55 48 $0.00
3511F 12 12 $0.00
90679 29 29 $0.00
3051F 16 14 $0.00