Medicaid Provider Spending

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

NUVANCE HEALTH MEDICAL PRACTICE, PC

NPI: 1437358033 · POUGHKEEPSIE, NY 12601 · Critical Care Medicine (Internal Medicine) Physician · NPI assigned 07/13/2007

$15.31M
Total Medicaid Paid
188,787
Total Claims
165,836
Beneficiaries
91
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDEBARBA, DANIEL (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date07/13/2007

Related Entities

Other providers sharing the same authorized official: DEBARBA, DANIEL

ProviderCityStateTotal Paid
DANBURY HOSPITAL DANBURY CT $123.87M
NORWALK HOSPITAL ASSOCIATION NORWALK CT $77.51M
DANBURY HOSPITAL NEW MILFORD CT $15.34M
HUDSON VALLEY CARDIOVASCULAR PRACTICE, PC POUGHKEEPSIE NY $2.15M
NORWALK HOSPITAL ASSOCIATION NORWALK CT $1.93M
WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES, INC. DANBURY CT $321K
HEALTH QUEST HOME CARE, INC. (CERTIFIED) POUGHKEEPSIE NY $200K
WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES, INC. RIDGEFIELD CT $76K
NORWALK HOSPITAL ASSOCIATION NORWALK CT $23K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,891 $819K
2019 17,124 $1.23M
2020 21,964 $1.54M
2021 34,549 $2.94M
2022 41,767 $3.46M
2023 42,301 $3.59M
2024 21,191 $1.73M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 58,140 54,343 $6.21M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 43,429 39,616 $3.14M
S9083 Global fee urgent care centers 8,019 7,890 $1.18M
99232 Subsequent hospital care, per day, moderate complexity 6,710 2,332 $446K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,554 2,522 $401K
99223 Prolong inpt eval add15 m 1,936 1,653 $330K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,477 3,200 $324K
88305 Level IV - Surgical pathology, gross and microscopic examination 7,266 5,657 $287K
99233 Prolong inpt eval add15 m 2,597 968 $275K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 5,972 3,262 $249K
99215 Prolong outpt/office vis 1,245 1,206 $212K
99239 Hospital discharge day management, more than 30 minutes 1,892 1,798 $200K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,030 2,833 $171K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,871 1,855 $167K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3,875 3,606 $140K
90792 Psychiatric diagnostic evaluation with medical services 1,042 976 $138K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,141 1,133 $134K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,496 1,494 $116K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 966 960 $115K
99222 Initial hospital care, per day, moderate complexity 895 787 $110K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,160 1,160 $91K
J0585 Injection, onabotulinumtoxina, 1 unit 154 78 $87K
99460 923 918 $87K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,181 789 $82K
95816 469 459 $69K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,014 4,977 $57K
64400 332 169 $46K
99205 Prolong outpt/office vis 189 186 $41K
76830 Ultrasound, transvaginal 364 364 $37K
88307 505 440 $37K
99238 Hospital discharge day management, 30 minutes or less 409 400 $31K
99462 496 410 $21K
99442 315 281 $19K
36415 Collection of venous blood by venipuncture 8,673 8,155 $18K
76801 357 353 $15K
99385 106 106 $14K
90686 938 836 $13K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 54 42 $12K
64405 178 158 $11K
64615 65 65 $10K
64450 178 157 $10K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 681 657 $10K
59025 Fetal non-stress test 193 111 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,107 930 $9K
99479 Subsequent intensive care, per day, very low birth weight infant 68 24 $9K
88304 788 749 $8K
20553 249 211 $8K
95810 Polysomnography; sleep staging with 4 or more additional parameters 66 66 $8K
97802 215 214 $7K
76813 139 139 $7K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 90 84 $7K
97803 456 451 $7K
G0008 Administration of influenza virus vaccine 348 340 $6K
20610 208 121 $5K
99201 111 111 $5K
99443 38 37 $4K
77427 23 13 $4K
99217 51 49 $4K
90715 79 79 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 114 114 $3K
99464 39 38 $3K
81025 501 463 $3K
99220 17 16 $3K
70551 Magnetic resonance imaging, brain; without contrast material 12 12 $2K
99386 14 13 $2K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 14 14 $2K
88342 67 52 $2K
76641 14 14 $2K
93000 148 144 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 141 140 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 130 124 $2K
95886 12 12 $2K
99219 12 12 $2K
94726 141 141 $1K
94060 140 140 $1K
90656 67 67 $1K
99221 12 12 $1K
11721 37 37 $1K
94729 126 126 $972.55
81002 992 745 $627.88
93923 14 12 $527.71
95806 13 13 $428.44
83036 Hemoglobin; glycosylated (A1C) 56 53 $411.81
73630 16 12 $391.03
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 75 64 $322.27
85018 164 163 $311.04
90472 Immunization administration, each additional vaccine (list separately) 13 13 $185.10
99441 123 52 $164.43
51798 14 12 $108.04
96160 14 14 $22.58
99173 12 12 $0.00