Medicaid Provider Spending

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

CALDERON, CECILIA

NPI: 1427118140 · BRONX, NY 10456 · Internal Medicine Physician · NPI assigned 12/11/2006

$108K
Total Medicaid Paid
13,754
Total Claims
12,165
Beneficiaries
64
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,579 $10K
2019 606 $5K
2020 1,157 $6K
2021 5,236 $24K
2022 1,406 $23K
2023 883 $24K
2024 887 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,497 2,221 $85K
99441 354 327 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 208 204 $3K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 152 152 $3K
G0444 Annual depression screening, 5 to 15 minutes 102 102 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 31 31 $1K
94010 38 38 $1K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 397 367 $948.16
99443 25 24 $935.25
93000 76 76 $732.00
99442 51 48 $720.02
0013A 12 12 $484.89
H0001 Alcohol and/or drug assessment 603 565 $430.00
99406 18 18 $406.41
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 151 151 $389.80
3078F 233 229 $265.00
3074F 217 214 $245.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 181 178 $232.70
99490 Ccm add 20min 67 66 $169.60
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 25 25 $100.00
3079F 34 34 $65.00
3075F 27 27 $57.50
99051 36 35 $56.00
1159F 295 284 $45.00
1160F 327 316 $40.00
1126F 172 170 $30.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 55 55 $25.12
36415 Collection of venous blood by venipuncture 381 374 $22.41
80053 Comprehensive metabolic panel 105 103 $16.73
G8420 Bmi is documented within normal parameters and no follow-up plan is required 105 102 $15.00
82962 77 74 $13.76
1125F 47 47 $10.00
3044F 22 22 $0.00
99429 896 815 $0.00
2001F 306 298 $0.00
1000F 870 808 $0.00
3014F 55 55 $0.00
97802 133 133 $0.00
3011F 12 12 $0.00
2010F 298 289 $0.00
3008F 282 274 $0.00
1036F 86 86 $0.00
3017F 62 61 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 329 311 $0.00
3048F 12 12 $0.00
4010F 42 42 $0.00
G8816 Statin medication prescribed at discharge 14 14 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 28 28 $0.00
G8473 Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed 29 29 $0.00
99080 1,439 512 $0.00
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg 127 120 $0.00
3725F 244 241 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 305 303 $0.00
82948 24 24 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 563 536 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 12 12 $0.00
3016F 215 211 $0.00
4013F 39 39 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 88 86 $0.00
97803 21 21 $0.00
91300 19 19 $0.00
3015F 12 12 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 54 54 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 17 17 $0.00