Medicaid Provider Spending

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

STARK COUNTY MEDICAL GROUP, INC.

NPI: 1427068634 · CANTON, OH 44718 · Pediatrics Physician · NPI assigned 08/09/2006

$125K
Total Medicaid Paid
10,531
Total Claims
9,556
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGILLSON, CARRIE (OFFICE MANAGER)
NPI Enumeration Date08/09/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,216 $18K
2019 1,736 $20K
2020 1,406 $14K
2021 2,044 $24K
2022 1,273 $20K
2023 1,092 $19K
2024 764 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,410 1,280 $70K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,410 1,286 $53K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 17 12 $908.25
81003 172 163 $296.59
1036F 1,202 1,092 $0.00
3074F 806 747 $0.00
3079F 46 42 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 1,200 1,090 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 147 129 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 13 12 $0.00
3017F 34 29 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 872 779 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,694 1,513 $0.00
3078F 385 366 $0.00
G8484 Influenza immunization was not administered, reason not given 172 161 $0.00
1160F 133 122 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 407 359 $0.00
1159F 133 122 $0.00
G8482 Influenza immunization administered or previously received 58 56 $0.00
G9905 Patient not screened for tobacco use 110 98 $0.00
G0029 Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period 110 98 $0.00