Medicaid Provider Spending

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

PHYSICIANS OF THE FUTURE MEDGROUP PLLC

NPI: 1437575966 · BRONX, NY 10463 · Internal Medicine Physician · NPI assigned 03/07/2014

$852K
Total Medicaid Paid
132,339
Total Claims
117,506
Beneficiaries
55
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNORBERTO, CANDIDO (PRESIDENT & OWNER)
NPI Enumeration Date03/07/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,217 $331K
2019 20,528 $254K
2020 18,176 $230K
2021 20,072 $23K
2022 13,749 $2K
2023 22,350 $7K
2024 20,247 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99349 4,305 3,784 $291K
99350 Prolong home eval add 15m 6,330 5,749 $270K
99345 Prolong home eval add 15m 1,472 1,453 $218K
99344 320 314 $62K
99348 71 67 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17 17 $2K
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 356 339 $2K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 8,904 7,856 $751.36
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13 13 $242.16
1159F 9,906 8,492 $207.95
0518F 9,753 8,375 $207.95
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 20 20 $42.88
90674 21 21 $34.18
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 18 18 $28.68
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 20 20 $25.00
3078F 1,126 1,094 $0.80
3074F 907 876 $0.60
G9903 Patient screened for tobacco use and identified as a tobacco non-user 1,919 1,824 $0.20
1101F 63 60 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,123 1,044 $0.00
3075F 647 599 $0.00
1125F 3,103 2,800 $0.00
1126F 3,700 3,277 $0.00
3008F 6,560 5,872 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 71 66 $0.00
G8734 Elder maltreatment screen documented as negative, follow-up is not required 1,675 1,589 $0.00
1123F 1,501 1,432 $0.00
1036F 3,948 3,616 $0.00
0001F 1,121 1,001 $0.00
1170F 8,836 7,621 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 535 492 $0.00
1111F 3,679 3,329 $0.00
2010F 1,093 1,046 $0.00
3079F 201 197 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 404 382 $0.00
1000F 1,408 1,232 $0.00
2001F 60 54 $0.00
2000F 144 135 $0.00
82270 13 13 $0.00
G9275 Documentation that patient is a current non-tobacco user 16 12 $0.00
3288F 9,304 8,053 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 547 497 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 964 904 $0.00
1160F 8,792 7,653 $0.00
0521F 6,088 5,369 $0.00
3725F 9,159 7,896 $0.00
3077F 40 40 $0.00
1494F 835 798 $0.00
1090F 8,016 7,061 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 2,542 2,406 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 53 49 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 418 389 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 93 90 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 16 16 $0.00
1100F 93 84 $0.00