Medicaid Provider Spending

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

KESSOUS & KESSOUS MD PC

NPI: 1447636048 · GAITHERSBURG, MD 20877 · Sports Medicine (Orthopaedic Surgery) Physician · NPI assigned 08/05/2015

Deactivated NPI · This NPI was deactivated on 05/04/2023. Reactivated 06/05/2023.
$1.06M
Total Medicaid Paid
27,949
Total Claims
18,001
Beneficiaries
46
Codes Billed
2018-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKESSOUS, EFRAIM (OWNER/MD)
NPI Enumeration Date08/05/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 32 $1K
2019 153 $289.87
2020 4,957 $168K
2021 8,570 $276K
2022 5,485 $231K
2023 5,519 $195K
2024 3,233 $192K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,198 4,818 $557K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,294 1,721 $137K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,930 635 $95K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 859 624 $61K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 240 216 $35K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 921 667 $35K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 848 302 $21K
97530 Therapeutic activities, direct patient contact, each 15 minutes 552 204 $15K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 968 647 $14K
99070 3,142 2,186 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 451 340 $12K
76881 134 105 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 87 77 $8K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 147 117 $7K
97161 89 71 $5K
90674 353 269 $3K
99051 537 333 $3K
99000 2,177 1,441 $3K
0003A 71 67 $3K
97014 242 104 $3K
99401 756 454 $2K
0124A 80 55 $2K
99354 30 24 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 93 39 $2K
0072A 46 46 $2K
0071A 46 44 $2K
99215 Prolong outpt/office vis 16 13 $2K
99402 1,141 644 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 193 128 $1K
36415 Collection of venous blood by venipuncture 800 581 $1K
G0008 Administration of influenza virus vaccine 130 127 $1K
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) 82 69 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 114 87 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 124 49 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 18 13 $768.91
87428 14 12 $672.51
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 26 15 $610.64
0012A 16 16 $604.00
0011A 19 16 $564.00
0013A 13 12 $444.00
97012 34 12 $369.97
76882 12 12 $311.19
90472 Immunization administration, each additional vaccine (list separately) 26 14 $27.50
99072 801 512 $13.28
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 40 24 $0.00
99201 39 39 $0.00