Medicaid Provider Spending

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

NELSON SPINETTI MD PA

NPI: 1457525917 · EDINBURG, TX 78539 · Pediatric Gastroenterology Physician · NPI assigned 04/16/2008

$3.61M
Total Medicaid Paid
43,023
Total Claims
40,222
Beneficiaries
46
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSPINETTI, NELSON (OWNER)
NPI Enumeration Date04/16/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 535 $39K
2021 7,150 $521K
2022 8,034 $904K
2023 8,126 $961K
2024 19,178 $1.19M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93975 3,418 3,348 $726K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,973 9,029 $504K
88313 1,529 1,133 $406K
99245 2,027 1,961 $327K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,426 1,138 $312K
99244 Office or other outpatient consultation, moderate to high complexity 2,445 2,387 $301K
88312 1,335 1,135 $267K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,104 2,051 $210K
76700 Ultrasound, abdominal, real time with image documentation; complete 3,546 3,455 $189K
74240 1,850 1,822 $187K
86003 256 218 $22K
74019 746 731 $21K
82024 568 543 $17K
99215 Prolong outpt/office vis 199 193 $15K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 364 357 $13K
82785 640 611 $8K
84443 Thyroid stimulating hormone (TSH) 589 561 $7K
82533 568 543 $7K
99000 718 687 $6K
70220 186 182 $6K
17250 86 84 $5K
82728 559 529 $5K
80061 Lipid panel 509 485 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 697 665 $4K
91038 13 13 $4K
80048 Basic metabolic panel (calcium, ionized) 622 600 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 563 529 $4K
80076 665 638 $4K
84681 239 227 $4K
71046 Radiologic examination, chest; 2 views 127 121 $3K
82150 645 613 $3K
84436 587 557 $3K
84480 237 223 $3K
83525 237 225 $2K
45380 Colonoscopy, flexible; with biopsy, single or multiple 12 12 $2K
83735 366 351 $2K
82977 362 346 $2K
82550 355 340 $2K
83615 349 335 $2K
91065 15 14 $990.22
84100 201 193 $744.52
82274 29 27 $347.62
99152 21 21 $80.80
99153 Mod sedat endo service >5yrs 21 21 $34.80
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) 616 584 $0.00
36415 Collection of venous blood by venipuncture 403 384 $0.00