Medicaid Provider Spending

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

GAO, PEI

NPI: 1427326065 · FLUSHING, NY 11354 · 207R00000X

$413K
Total Medicaid Paid
40,552
Total Claims
34,600
Beneficiaries
61
Codes Billed
2018-01
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,026 $23K
2019 2,925 $44K
2020 3,643 $53K
2021 5,148 $60K
2022 4,691 $61K
2023 14,708 $118K
2024 8,411 $54K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 5,793 4,651 $281K
99214 1,454 1,377 $73K
99490 Ccm add 20min 1,022 1,021 $15K
99212 429 388 $10K
90471 442 426 $7K
99491 Ccm add 20min 295 295 $5K
90686 231 206 $4K
99442 103 96 $3K
H0001 Alcohol and/or drug assess 215 215 $3K
G8427 Docrev cur meds by elig clin 2,001 1,458 $3K
36415 1,554 1,523 $3K
H0049 Alcohol/drug screening 70 70 $2K
99396 14 14 $2K
99051 592 549 $626.88
99408 334 316 $516.27
96372 160 150 $477.05
G8510 Scr dep neg, no plan reqd 383 349 $409.72
G0444 Depression screen annual 86 65 $304.46
99000 605 563 $183.20
99406 20 18 $174.44
1160F 6,159 4,619 $136.90
3078F 1,283 1,188 $50.00
3074F 1,313 1,210 $45.00
1159F 6,134 4,606 $25.00
3044F 607 538 $20.00
J3420 Vitamin b12 injection 62 56 $16.22
90662 217 217 $11.90
G9622 No unheal etoh user 210 210 $0.85
4274F 478 467 $0.52
3725F 564 521 $0.32
G9275 Doc of non tobacco user 189 189 $0.24
3077F 581 558 $0.00
G8477 Bp sys>=140 and/or dias >=90 164 157 $0.00
3288F 232 205 $0.00
J0897 Denosumab injection 12 12 $0.00
G8476 Bp sys <140 and dias <90 179 178 $0.00
3050F 88 76 $0.00
3016F 219 219 $0.00
0518F 179 154 $0.00
3095F 12 12 $0.00
G8399 Pt w/dxa results document 17 17 $0.00
3051F 16 13 $0.00
4013F 13 13 $0.00
1036F 541 523 $0.00
3079F 808 778 $0.00
3008F 1,022 896 $0.00
3048F 298 268 $0.00
G8420 Calc bmi norm parameters 154 122 $0.00
3075F 535 520 $0.00
G0439 Ppps, subseq visit 79 79 $0.00
1000F 583 577 $0.00
1125F 191 169 $0.00
99429 382 307 $0.00
3011F 328 327 $0.00
3080F 238 229 $0.00
G8950 Pre-htn or htn doc, f/u indc 128 126 $0.00
1101F 197 170 $0.00
G0442 Annual alcohol screen 15 min 73 66 $0.00
G0008 Admin influenza virus vac 218 218 $0.00
3049F 28 25 $0.00
3061F 18 15 $0.00