Medicaid Provider Spending

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

GAO, PEI

NPI: 1427326065 · FLUSHING, NY 11354 · Internal Medicine Physician · NPI assigned 12/10/2011

$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 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,793 4,651 $281K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,454 1,377 $73K
99490 Ccm add 20min 1,022 1,021 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 429 388 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 442 426 $7K
99491 Ccm add 20min 295 295 $5K
90686 231 206 $4K
99442 103 96 $3K
H0001 Alcohol and/or drug assessment 215 215 $3K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,001 1,458 $3K
36415 Collection of venous blood by venipuncture 1,554 1,523 $3K
H0049 Alcohol and/or drug screening 70 70 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 14 $2K
99051 592 549 $626.88
99408 334 316 $516.27
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 160 150 $477.05
G8510 Screening for depression is documented as negative, a follow-up plan is not required 383 349 $409.72
G0444 Annual depression screening, 5 to 15 minutes 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 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 62 56 $16.22
90662 217 217 $11.90
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 210 210 $0.85
4274F 478 467 $0.52
3725F 564 521 $0.32
G9275 Documentation that patient is a current non-tobacco user 189 189 $0.24
3077F 581 558 $0.00
G8477 Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg 164 157 $0.00
3288F 232 205 $0.00
J0897 Injection, denosumab, 1 mg 12 12 $0.00
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg 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 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 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 Bmi is documented within normal parameters and no follow-up plan is required 154 122 $0.00
3075F 535 520 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent 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 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 128 126 $0.00
1101F 197 170 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 73 66 $0.00
G0008 Administration of influenza virus vaccine 218 218 $0.00
3049F 28 25 $0.00
3061F 18 15 $0.00