Medicaid Provider Spending

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

R GUILLEN MD PC

NPI: 1467612499 · BRONX, NY 10451 · Primary Care Clinic/Center · NPI assigned 06/12/2008

$30K
Total Medicaid Paid
39,490
Total Claims
38,474
Beneficiaries
45
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGUILLEN, RAFAEL (MEDICAL DOCTOR)
NPI Enumeration Date06/12/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,122 $7K
2019 6,843 $13K
2020 5,317 $4K
2021 6,742 $5K
2022 6,127 $210.00
2023 6,155 $928.67
2024 4,184 $105.32

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,708 1,674 $12K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,095 1,063 $8K
3074F 2,290 2,202 $3K
3078F 2,022 1,956 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 442 442 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 70 70 $755.32
36415 Collection of venous blood by venipuncture 1,509 1,503 $488.03
H0001 Alcohol and/or drug assessment 1,172 1,172 $440.39
3079F 220 208 $390.08
1126F 468 435 $185.29
90658 78 78 $179.50
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 17 17 $150.00
82962 737 713 $80.26
1159F 1,219 1,174 $80.00
94760 68 66 $44.97
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 876 853 $0.60
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,102 1,102 $0.57
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,931 1,858 $0.31
81001 108 107 $0.21
3008F 3,855 3,663 $0.17
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 1,190 1,190 $0.07
86803 89 89 $0.04
86706 87 87 $0.03
87340 87 87 $0.03
86704 87 87 $0.03
86708 87 87 $0.03
1220F 1,065 1,065 $0.00
G9275 Documentation that patient is a current non-tobacco user 1,276 1,276 $0.00
81000 24 24 $0.00
2001F 3,483 3,332 $0.00
2000F 3,405 3,258 $0.00
1000F 1,027 1,027 $0.00
3011F 468 467 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,071 1,037 $0.00
3510F 157 157 $0.00
3061F 62 62 $0.00
3048F 65 65 $0.00
3292F 14 14 $0.00
1033F 962 962 $0.00
3725F 1,097 1,097 $0.00
3016F 1,061 1,061 $0.00
1160F 578 567 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,023 983 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 25 25 $0.00
G8598 Aspirin or another antiplatelet therapy used 13 12 $0.00