Medicaid Provider Spending

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

MEDICAL FACULTY ASSOCIATES, INC

NPI: 1417990581 · WASHINGTON, DC 20037 · Dermatology Physician · NPI assigned 06/14/2006

$75.68M
Total Medicaid Paid
1,486,160
Total Claims
1,199,902
Beneficiaries
336
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBADGER, STEPHEN (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date06/14/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 217,750 $9.73M
2019 282,464 $13.41M
2020 228,675 $10.88M
2021 239,829 $11.88M
2022 192,918 $10.88M
2023 183,692 $10.61M
2024 140,832 $8.29M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 139,112 127,427 $11.88M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 130,250 117,837 $9.90M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 178,511 161,138 $9.63M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 58,018 52,363 $6.12M
99232 Subsequent hospital care, per day, moderate complexity 118,809 42,432 $4.55M
99283 Emergency department visit for the evaluation and management, moderate severity 62,787 57,859 $3.20M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 24,225 10,746 $2.44M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 23,068 21,373 $1.76M
99233 Prolong inpt eval add15 m 29,446 11,406 $1.54M
99215 Prolong outpt/office vis 13,841 12,399 $1.42M
99223 Prolong inpt eval add15 m 14,096 12,123 $1.41M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 19,360 17,606 $1.21M
74177 Computed tomography, abdomen and pelvis; with contrast material 17,787 16,176 $1.07M
77067 Screening mammography, bilateral, including computer-aided detection 11,234 10,889 $1.06M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 9,559 8,794 $989K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 8,905 8,296 $987K
70450 Computed tomography, head or brain; without contrast material 29,239 25,243 $721K
88305 Level IV - Surgical pathology, gross and microscopic examination 16,800 14,353 $691K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,615 1,415 $579K
77066 Tomosynthesis, mammo 4,292 4,153 $514K
71045 Radiologic examination, chest; single view 103,786 64,575 $473K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 5,288 4,548 $369K
88307 5,002 4,658 $367K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 5,259 4,082 $356K
99222 Initial hospital care, per day, moderate complexity 5,032 4,287 $343K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 4,587 3,605 $335K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 10,711 9,218 $328K
99231 Subsequent hospital care, per day, straightforward or low complexity 11,273 6,992 $316K
95811 784 674 $295K
77065 Tomosynthesis, mammo 3,295 3,117 $295K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 62,484 49,332 $290K
20610 6,042 4,828 $290K
71046 Radiologic examination, chest; 2 views 34,820 31,465 $269K
77063 Screening digital breast tomosynthesis, bilateral 10,999 10,662 $267K
71275 Computed tomographic angiography, chest, with contrast material 4,969 4,560 $261K
59025 Fetal non-stress test 6,999 5,452 $255K
71260 Computed tomography, thorax, diagnostic; with contrast material 5,686 5,218 $242K
97803 4,559 4,059 $237K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 4,274 3,997 $229K
73564 9,828 7,136 $223K
31231 1,620 1,491 $213K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,884 2,672 $213K
70551 Magnetic resonance imaging, brain; without contrast material 3,896 3,589 $207K
72125 Computed tomography, cervical spine; without contrast material 6,126 5,616 $206K
76813 1,701 1,637 $184K
74176 Computed tomography, abdomen and pelvis; without contrast material 4,283 3,736 $179K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,120 1,086 $178K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,540 4,994 $172K
90935 Hemodialysis procedure with single evaluation by a physician 6,281 3,067 $165K
76830 Ultrasound, transvaginal 5,651 5,462 $165K
76819 Fetal biophysical profile; without non-stress testing 2,037 1,489 $160K
71250 3,945 3,631 $148K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 5,076 4,914 $147K
76642 5,324 4,686 $131K
76705 Ultrasound, abdominal, real time with image documentation; limited 6,750 6,148 $129K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,317 1,262 $117K
88342 4,307 4,002 $115K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,219 1,161 $110K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,161 1,032 $110K
95720 1,005 444 $109K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 852 815 $108K
94729 3,220 3,032 $106K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 2,986 1,504 $103K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 941 918 $100K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 519 456 $100K
73630 10,700 8,690 $99K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,434 2,280 $97K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 124 122 $91K
70496 1,743 1,572 $91K
76801 996 943 $90K
70498 1,786 1,609 $89K
99205 Prolong outpt/office vis 586 557 $89K
99460 1,033 995 $82K
73030 6,997 5,920 $80K
97802 961 932 $79K
73610 5,726 4,917 $78K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,196 1,050 $78K
99443 1,031 975 $77K
93971 4,682 4,166 $75K
92134 4,416 3,987 $75K
0002A 2,360 2,291 $72K
93970 2,966 2,479 $71K
0001A 2,550 2,460 $67K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 3,437 3,313 $66K
95886 984 836 $65K
94060 1,993 1,845 $64K
31579 479 445 $62K
76536 1,351 1,209 $59K
95951 339 116 $59K
45380 Colonoscopy, flexible; with biopsy, single or multiple 452 425 $58K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,184 1,017 $57K
72110 2,204 2,051 $55K
92133 3,015 2,718 $55K
90961 573 527 $54K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 442 426 $50K
93000 5,288 4,764 $49K
70486 1,586 1,454 $49K
92083 1,553 1,401 $47K
99238 Hospital discharge day management, 30 minutes or less 1,847 1,680 $43K
77014 1,545 238 $42K
92557 1,728 1,660 $41K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,960 1,899 $41K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 4,288 4,002 $40K
94727 1,777 1,666 $40K
31575 441 415 $38K
96367 1,412 1,102 $35K
73130 3,997 3,141 $34K
74178 169 153 $33K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 169 165 $32K
J1439 Injection, ferric carboxymaltose, 1 mg 38 26 $32K
73502 2,828 2,582 $31K
95800 292 287 $31K
99221 377 353 $30K
73562 2,868 2,075 $28K
76770 1,178 1,060 $28K
72141 267 258 $28K
93880 739 639 $27K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,685 1,578 $27K
99243 237 235 $26K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 562 503 $25K
72100 2,113 1,954 $25K
92567 2,637 2,537 $25K
74018 4,793 3,363 $24K
99244 Office or other outpatient consultation, moderate to high complexity 153 147 $24K
99254 152 143 $23K
11900 535 516 $23K
99479 Subsequent intensive care, per day, very low birth weight infant 205 69 $23K
90962 258 240 $22K
73110 1,855 1,529 $22K
78815 Positron emission tomography (PET) for limited area imaging 542 487 $22K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 175 164 $22K
91322 240 235 $21K
69210 1,309 1,218 $20K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,689 821 $20K
88341 337 288 $20K
94726 500 479 $20K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 170 163 $19K
59514 22 22 $19K
94375 819 769 $18K
92015 Determination of refractive state 2,385 1,889 $18K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 630 565 $17K
95117 2,084 1,206 $17K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,437 1,280 $17K
93015 304 268 $16K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 328 237 $16K
72131 497 441 $16K
81002 1,818 1,485 $16K
77080 1,200 1,110 $15K
11721 1,081 908 $15K
93308 891 810 $15K
64483 102 99 $15K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 44 39 $15K
76820 365 210 $15K
73560 1,172 965 $15K
76775 691 632 $14K
92250 538 501 $14K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 16 16 $14K
86077 467 331 $14K
96375 Therapeutic injection; each additional sequential IV push 890 665 $13K
94200 1,122 1,046 $13K
A9585 Injection, gadobutrol, 0.1 ml 480 418 $12K
19083 105 100 $12K
99349 220 177 $12K
46600 182 161 $11K
83036 Hemoglobin; glycosylated (A1C) 1,989 1,871 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 893 855 $11K
73590 1,251 1,031 $10K
74174 158 142 $10K
95813 84 65 $10K
67028 Intravitreal injection of a pharmacologic agent 255 195 $10K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,161 1,046 $10K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 4,382 3,965 $10K
81003 8,549 7,591 $10K
95819 78 72 $9K
93296 990 896 $9K
92025 484 449 $9K
99219 108 100 $9K
93975 183 170 $9K
76641 228 179 $9K
88112 520 450 $9K
0003A 390 362 $9K
72128 254 226 $9K
92020 835 732 $8K
77427 62 25 $8K
72197 64 61 $8K
92504 466 417 $8K
J2469 Injection, palonosetron hcl, 25 mcg 162 129 $8K
93295 328 280 $8K
T2022 Case management, per month 344 284 $8K
72040 562 513 $7K
90480 241 238 $7K
95012 585 514 $7K
99292 149 54 $7K
L3000 Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each 27 14 $6K
90674 266 258 $6K
90688 562 516 $6K
99385 44 44 $5K
54150 60 58 $5K
88304 480 421 $5K
J2785 Injection, regadenoson, 0.1 mg 54 51 $5K
J1453 Injection, fosaprepitant, 1 mg 65 51 $5K
51798 1,172 1,027 $5K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 224 196 $5K
96415 181 146 $4K
70544 234 212 $4K
88312 89 75 $4K
99152 382 292 $4K
99253 55 36 $4K
96417 61 51 $4K
00811 102 45 $4K
99235 27 24 $3K
72050 159 151 $3K
81025 531 499 $3K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 34 28 $3K
99201 84 80 $3K
11104 38 37 $3K
93922 53 51 $3K
51705 45 38 $3K
70491 38 38 $3K
90686 202 197 $3K
88141 111 108 $3K
88311 309 253 $3K
72170 235 219 $2K
93248 166 153 $2K
73552 319 248 $2K
90832 Psychotherapy, 30 minutes with patient 43 38 $2K
95806 30 28 $2K
99386 16 16 $2K
88173 38 36 $2K
99220 16 13 $2K
64493 30 25 $2K
99239 Hospital discharge day management, more than 30 minutes 117 101 $2K
11981 18 18 $2K
74230 193 152 $2K
00840 12 12 $2K
97597 169 106 $2K
99255 14 12 $2K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 13 13 $2K
98968 49 49 $2K
76818 18 14 $2K
73221 41 40 $2K
93244 130 128 $2K
84165 183 172 $2K
11730 46 41 $2K
73080 206 170 $2K
92060 43 40 $2K
90715 68 63 $2K
20553 64 54 $2K
52000 17 15 $2K
94010 74 71 $1K
20550 44 39 $1K
11720 163 150 $1K
96900 141 43 $1K
58301 15 15 $1K
99406 136 128 $1K
71271 43 43 $1K
75574 26 24 $1K
J9035 Injection, bevacizumab, 10 mg 34 28 $1K
92511 12 12 $1K
93242 123 122 $1K
99442 54 53 $1K
82962 3,758 3,467 $1K
51741 193 157 $1K
99252 16 16 $1K
73522 54 51 $963.87
11056 28 25 $957.78
73090 143 120 $926.54
10060 17 13 $917.32
76942 32 26 $892.31
82803 80 71 $857.85
93246 97 92 $827.05
J1040 Injection, methylprednisolone acetate, 80 mg 90 81 $821.39
11102 12 12 $815.68
58300 12 12 $785.19
78582 13 12 $773.91
94664 92 88 $768.33
0031A 18 18 $721.10
90661 37 37 $704.09
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 42 38 $620.90
J1100 Injection, dexamethasone sodium phosphate, 1 mg 852 654 $590.02
36415 Collection of venous blood by venipuncture 432 384 $584.83
93297 48 44 $527.99
98967 20 20 $502.00
64494 30 25 $498.23
76857 28 28 $495.12
00731 14 13 $479.55
92136 32 25 $472.26
76514 91 82 $472.21
J1010 Injection, methylprednisolone acetate, 1 mg 91 91 $412.00
93227 15 14 $334.60
93356 15 15 $308.99
93225 12 12 $304.68
76937 44 40 $298.77
76604 15 15 $263.80
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 14 14 $255.86
92225 38 16 $253.60
99281 Emergency department visit for the evaluation and management, self-limited or minor 12 12 $243.12
90694 47 45 $229.36
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 303 279 $226.53
93290 13 13 $204.96
84153 243 202 $188.37
99153 Mod sedat endo service >5yrs 25 24 $184.87
J7050 Infusion, normal saline solution, 250 cc 580 479 $171.80
86580 17 16 $141.95
93016 12 12 $136.72
87210 27 25 $121.16
87220 27 25 $109.72
93018 12 12 $94.52
74019 13 12 $93.11
92226 46 19 $92.56
J1030 Injection, methylprednisolone acetate, 40 mg 14 14 $90.30
73060 18 14 $78.27
96402 12 12 $75.59
J1885 Injection, ketorolac tromethamine, per 15 mg 75 66 $72.02
84155 29 24 $68.28
93321 20 13 $64.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 50 50 $63.30
83986 13 13 $46.02
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12 12 $41.51
93325 22 13 $30.86
G0008 Administration of influenza virus vaccine 189 173 $20.00
J7030 Infusion, normal saline solution , 1000 cc 19 16 $17.60
0124A 43 43 $14.01
85610 28 15 $8.62
J1200 Injection, diphenhydramine hcl, up to 50 mg 25 24 $7.83
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 25 25 $3.41
77061 68 67 $0.00
36600 78 69 $0.00
99072 50 50 $0.00
77062 622 618 $0.00
90966 39 37 $0.00
91300 423 415 $0.00
99423 30 27 $0.00
36416 206 203 $0.00
0011A 13 12 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 16 12 $0.00