Medicaid Provider Spending

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

TEXAS CHILDRENS HOSPITAL

NPI: 1427595313 · THE WOODLANDS, TX 77384 · Blood Banking & Transfusion Medicine Physician · NPI assigned 01/30/2017

$247K
Total Medicaid Paid
9,154
Total Claims
8,316
Beneficiaries
17
Codes Billed
2018-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVERSALOVIC, JAMES (AUTHORIZED OFFICIAL/LEAD DOCTOR)
NPI Enumeration Date01/30/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 21 $7.30
2019 468 $161.49
2020 319 $14K
2021 1,573 $57K
2022 1,360 $65K
2023 1,661 $62K
2024 3,752 $50K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
88305 Level IV - Surgical pathology, gross and microscopic examination 2,565 2,400 $209K
88304 1,807 1,763 $15K
85060 1,033 966 $11K
S0620 Routine ophthalmological examination including refraction; new patient 148 135 $4K
88307 48 48 $3K
S0621 Routine ophthalmological examination including refraction; established patient 66 64 $2K
92015 Determination of refractive state 1,653 1,360 $516.00
88342 24 24 $481.81
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 491 399 $431.19
85390 83 51 $428.35
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 281 269 $248.05
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 232 167 $247.56
92060 175 162 $110.02
88300 297 265 $40.15
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 46 44 $0.00
87999 193 187 $0.00
99242 12 12 $0.00