Medicaid Provider Spending

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

EMEDICAL GROUP INC

NPI: 1457644742 · TROY, AL 36081 · Health Service Clinic/Center · NPI assigned 05/19/2011

$5.84M
Total Medicaid Paid
171,407
Total Claims
156,463
Beneficiaries
58
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBERNARDO, MARIA (SECRETARY)
NPI Enumeration Date05/19/2011

Related Entities

Other providers sharing the same authorized official: BERNARDO, MARIA

ProviderCityStateTotal Paid
EMEDICAL GROUP INC TROY AL $71K
MARIA PILAR BERNARDO DDS INC LOS ANGELES CA $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 21,380 $731K
2019 22,298 $746K
2020 17,761 $659K
2021 30,256 $1.11M
2022 35,981 $1.25M
2023 31,706 $1.05M
2024 12,025 $293K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30,866 24,569 $2.08M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,096 11,219 $1.20M
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 17,099 15,788 $364K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 6,282 5,735 $345K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 10,640 9,491 $275K
87430 17,079 15,788 $229K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,388 2,353 $161K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,170 2,149 $149K
Q3014 Telehealth originating site facility fee 6,784 5,904 $133K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,935 1,889 $132K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 7,908 7,028 $128K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,402 1,389 $95K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,681 5,605 $56K
94664 4,825 4,623 $47K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 452 418 $42K
90670 1,567 1,545 $30K
83655 1,799 1,773 $27K
96127 7,207 6,932 $25K
94010 1,073 1,051 $25K
99173 5,108 5,050 $24K
90698 1,211 1,194 $23K
90686 1,207 1,195 $23K
G0312 Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) 1,630 1,580 $20K
92551 4,285 4,234 $20K
90680 960 946 $18K
81003 6,134 5,853 $18K
D1206 Topical application of fluoride varnish 988 972 $17K
90744 772 751 $15K
90688 672 661 $13K
90716 637 632 $12K
90707 628 623 $12K
90734 489 485 $9K
99000 2,768 2,520 $9K
90651 451 447 $9K
D0145 Oral evaluation for a patient under three years of age 627 614 $8K
90649 376 370 $7K
90633 330 330 $6K
90621 274 273 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 136 130 $5K
90715 201 198 $4K
90677 136 134 $3K
90648 130 129 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 76 73 $2K
36416 898 827 $2K
90700 101 99 $2K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 295 283 $2K
90696 69 69 $1K
0001A 33 33 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 108 98 $898.65
0011A 19 12 $680.00
0012A 14 13 $560.00
36415 Collection of venous blood by venipuncture 286 283 $556.00
90461 13 13 $507.00
90671 26 26 $494.75
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 15 14 $306.00
90647 13 13 $257.27
87807 26 25 $255.76
81025 12 12 $36.00