Medicaid Provider Spending

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

KOLESNIKOV PEDIATRICS PLLC

NPI: 1467968834 · JENKINS, KY 41537 · Clinic/Center · NPI assigned 12/21/2017

$14K
Total Medicaid Paid
412
Total Claims
358
Beneficiaries
6
Codes Billed
2019-12
First Month
2024-01
Last Month

Provider Details

Authorized OfficialKOLESNIKOV, ANDREY (OWNER)
NPI Enumeration Date12/21/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 33 $2K
2020 250 $9K
2021 72 $3K
2023 30 $0.00
2024 27 $80.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 192 144 $10K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 37 37 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 115 109 $1K
90461 25 25 $55.00
90674 30 30 $0.00
90723 13 13 $0.00