Medicaid Provider Spending

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

SCALES, SUSAN

NPI: 1457517823 · COVENTRY, CT 06238 · Family Nurse Practitioner · NPI assigned 08/05/2008

$124K
Total Medicaid Paid
2,134
Total Claims
1,269
Beneficiaries
4
Codes Billed
2022-08
First Month
2024-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 35 $1K
2023 1,877 $110K
2024 222 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 777 446 $60K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,092 614 $50K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 225 179 $12K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 40 30 $2K