Medicaid Provider Spending

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

MANUEL J MERCADO MD PA

NPI: 1427020676 · PHARR, TX 78577 · Internal Medicine Physician · NPI assigned 02/02/2006

$448K
Total Medicaid Paid
21,635
Total Claims
15,248
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMERCADO, MANUEL (OWNER)
NPI Enumeration Date02/02/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,433 $53K
2019 5,342 $168K
2020 5,914 $109K
2021 2,803 $48K
2022 1,996 $31K
2023 1,400 $23K
2024 747 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99444 3,589 886 $199K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,612 4,870 $101K
99422 2,842 864 $60K
99423 894 445 $50K
99443 863 712 $12K
99091 713 695 $11K
99490 Ccm add 20min 1,259 1,258 $5K
99457 1,579 1,529 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 595 506 $3K
90756 486 415 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 160 151 $1K
99454 99 90 $175.76
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 70 57 $104.80
90658 12 12 $64.48
G8482 Influenza immunization administered or previously received 252 245 $0.00
G8598 Aspirin or another antiplatelet therapy used 177 170 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 34 33 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 232 221 $0.00
4004F 22 22 $0.00
4040F 80 76 $0.00
3046F 98 97 $0.00
1100F 20 18 $0.00
3045F 14 13 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 13 12 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 95 94 $0.00
3288F 26 26 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 141 140 $0.00
3017F 41 41 $0.00
G0008 Administration of influenza virus vaccine 333 310 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 271 260 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 236 227 $0.00
1101F 320 309 $0.00
3044F 43 42 $0.00
1036F 319 308 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 95 94 $0.00