Medicaid Provider Spending

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

STATE UNIVERSITY OF IOWA

NPI: 1477554814 · IOWA CITY, IA 52242 · Internal Medicine Physician · NPI assigned 08/09/2005

$103.47M
Total Medicaid Paid
2,044,529
Total Claims
1,547,376
Beneficiaries
403
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVANDAELE, DOUGLAS (ASSOCIATE DEAN)
Parent OrganizationSTATE UNIVERSITY OF IOWA
NPI Enumeration Date08/09/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 263,940 $10.22M
2019 286,089 $11.28M
2020 255,501 $23.80M
2021 319,259 $23.00M
2022 330,588 $12.38M
2023 327,504 $12.62M
2024 261,648 $10.17M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 299,147 280,983 $16.38M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 205,390 195,454 $7.73M
H0040 Assertive community treatment program, per diem 100,303 4,590 $6.80M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 13,773 1,857 $5.79M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 30,457 29,177 $4.57M
99215 Prolong outpt/office vis 58,026 53,927 $4.52M
99232 Subsequent hospital care, per day, moderate complexity 91,830 28,265 $4.22M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 8,751 1,867 $3.27M
99480 Subsequent intensive care, per day, low birth weight infant 24,614 5,049 $3.12M
99233 Prolong inpt eval add15 m 36,228 13,293 $2.25M
95720 3,920 2,053 $2.04M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 27,734 26,365 $1.98M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16,009 15,502 $1.80M
88305 Level IV - Surgical pathology, gross and microscopic examination 35,808 20,270 $1.78M
99479 Subsequent intensive care, per day, very low birth weight infant 11,913 2,093 $1.48M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 12,612 12,000 $1.40M
96127 33,092 16,724 $1.34M
74177 Computed tomography, abdomen and pelvis; with contrast material 16,740 15,783 $1.32M
99283 Emergency department visit for the evaluation and management, moderate severity 18,960 18,390 $1.23M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 8,453 3,144 $1.21M
99284 Emergency department visit for the evaluation and management, high severity 12,499 12,005 $1.18M
71045 Radiologic examination, chest; single view 132,527 61,677 $1.13M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 10,980 10,380 $1.11M
99490 Ccm add 20min 10,855 10,817 $959K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 117,121 95,075 $950K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12,886 12,467 $815K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 9,901 9,023 $796K
99205 Prolong outpt/office vis 5,842 5,528 $782K
70450 Computed tomography, head or brain; without contrast material 19,223 16,330 $706K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8,646 7,856 $701K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 18,297 15,396 $632K
67028 Intravitreal injection of a pharmacologic agent 3,837 3,647 $623K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 14,504 13,959 $583K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 20,751 19,503 $561K
99238 Hospital discharge day management, 30 minutes or less 7,634 7,285 $502K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,665 5,562 $501K
96112 4,031 3,753 $491K
90834 Psychotherapy, 45 minutes with patient 6,677 3,664 $479K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 9,448 9,195 $444K
76770 11,108 10,688 $425K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 8,767 8,477 $401K
88307 4,274 3,139 $400K
70551 Magnetic resonance imaging, brain; without contrast material 5,470 5,082 $379K
76705 Ultrasound, abdominal, real time with image documentation; limited 12,422 11,672 $365K
99231 Subsequent hospital care, per day, straightforward or low complexity 11,719 4,270 $353K
71046 Radiologic examination, chest; 2 views 35,684 32,969 $348K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,739 3,564 $346K
76830 Ultrasound, transvaginal 8,794 8,442 $335K
95951 3,557 1,871 $293K
59025 Fetal non-stress test 10,085 4,359 $280K
93320 10,275 9,285 $268K
71275 Computed tomographic angiography, chest, with contrast material 4,024 3,780 $256K
71260 Computed tomography, thorax, diagnostic; with contrast material 4,505 4,244 $245K
99442 2,650 2,508 $245K
96113 724 569 $243K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3,917 3,818 $235K
90460 Immunization administration through 18 years of age via any route, first or only component 5,100 4,944 $231K
99441 3,989 3,781 $222K
90870 5,040 2,302 $218K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 6,602 5,643 $218K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3,634 3,517 $211K
74018 24,788 19,073 $211K
00104 2,943 1,501 $192K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 4,976 4,814 $188K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,328 3,191 $187K
77067 Screening mammography, bilateral, including computer-aided detection 4,414 4,254 $187K
76801 2,419 2,331 $178K
95810 Polysomnography; sleep staging with 4 or more additional parameters 946 929 $165K
29450 1,624 807 $157K
93308 4,729 2,360 $150K
90853 Group psychotherapy (other than of a multiple-family group) 4,727 2,206 $148K
93325 19,179 14,934 $145K
95813 1,462 1,418 $143K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 3,224 2,984 $142K
92134 6,684 6,290 $139K
71250 2,494 2,383 $134K
93975 1,889 1,744 $134K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,450 1,438 $133K
99223 Prolong inpt eval add15 m 1,789 1,508 $129K
90832 Psychotherapy, 30 minutes with patient 2,820 2,238 $128K
76506 3,629 2,939 $127K
77063 Screening digital breast tomosynthesis, bilateral 3,771 3,623 $121K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3,110 2,835 $120K
99443 979 880 $116K
74019 9,352 6,748 $114K
90837 Psychotherapy, 53 minutes with patient 1,082 639 $107K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,672 3,396 $106K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 9,128 8,659 $100K
92201 3,013 1,555 $100K
90686 9,586 9,192 $99K
94010 9,045 8,385 $99K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 610 587 $95K
88342 2,849 2,518 $94K
20611 1,485 1,430 $90K
99239 Hospital discharge day management, more than 30 minutes 1,470 1,381 $88K
36415 Collection of venous blood by venipuncture 32,708 29,891 $88K
90791 Psychiatric diagnostic evaluation 854 766 $87K
72082 5,077 4,444 $81K
G0452 Molecular pathology procedure; physician interpretation and report 4,465 3,864 $79K
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) 7,353 6,995 $78K
31231 1,881 1,789 $73K
93970 2,411 1,995 $69K
70496 850 779 $66K
93321 5,215 2,623 $65K
90935 Hemodialysis procedure with single evaluation by a physician 1,596 672 $65K
72125 Computed tomography, cervical spine; without contrast material 1,228 1,156 $64K
99226 606 451 $62K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 629 618 $60K
92083 2,052 1,991 $59K
86255 2,956 2,776 $58K
95782 391 381 $57K
74183 567 546 $56K
96111 621 607 $54K
73630 6,406 5,220 $54K
92060 1,761 1,710 $53K
99460 719 694 $53K
84165 2,986 2,705 $53K
93227 1,691 1,637 $53K
99462 1,320 1,088 $52K
01922 150 131 $51K
95800 1,153 1,107 $50K
73030 5,805 5,120 $50K
94060 2,997 2,895 $49K
76813 587 571 $47K
99222 Initial hospital care, per day, moderate complexity 744 667 $45K
51741 1,094 1,035 $42K
73610 4,747 4,149 $42K
88291 2,522 2,336 $42K
80500 1,854 1,711 $42K
96158 1,084 827 $41K
88189 418 365 $40K
92015 Determination of refractive state 3,464 3,309 $40K
93000 1,510 1,442 $39K
86334 2,291 2,048 $38K
73502 3,604 3,306 $37K
31575 667 650 $37K
73560 4,061 3,448 $35K
78815 Positron emission tomography (PET) for limited area imaging 468 437 $34K
76820 1,258 967 $33K
0002A 878 866 $33K
88112 1,292 1,183 $33K
90792 Psychiatric diagnostic evaluation with medical services 246 237 $32K
00731 287 275 $31K
74230 1,058 1,000 $30K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 557 522 $30K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 108 104 $30K
V2020 Frames, purchases 1,211 1,202 $30K
99217 526 497 $30K
80503 1,850 1,684 $30K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,123 2,019 $29K
73590 3,928 2,945 $29K
94729 3,725 3,574 $28K
92226 904 247 $28K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 365 343 $27K
76536 981 948 $26K
74176 Computed tomography, abdomen and pelvis; without contrast material 365 352 $26K
83036 Hemoglobin; glycosylated (A1C) 3,302 3,088 $26K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 374 361 $25K
76642 721 670 $25K
11721 2,053 2,012 $25K
73130 2,445 1,908 $23K
0001A 801 793 $23K
99417 Prolong home eval add 15m 268 244 $23K
49083 267 189 $22K
99225 283 183 $22K
99354 350 325 $22K
99220 134 130 $21K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 678 648 $21K
99152 2,170 1,969 $21K
73110 2,213 1,940 $21K
76825 218 199 $20K
77072 1,843 1,807 $19K
88188 270 251 $19K
70498 295 266 $19K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 238 227 $18K
72100 1,470 1,406 $18K
88141 643 604 $17K
86077 305 289 $16K
54150 143 139 $16K
17110 278 263 $16K
70491 186 179 $16K
70486 308 292 $16K
92002 518 509 $16K
95251 217 213 $15K
69210 501 484 $15K
95718 66 61 $15K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 237 227 $15K
20610 346 331 $15K
42820 Tonsillectomy and adenoidectomy; younger than age 12 52 50 $14K
91320 143 140 $14K
92504 2,326 2,182 $14K
93971 608 573 $14K
72141 228 219 $14K
77080 1,329 1,290 $13K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 106 99 $13K
83020 726 678 $13K
0072A 455 329 $13K
90961 213 196 $13K
92133 527 511 $12K
95811 93 88 $12K
72170 1,451 1,321 $12K
76818 356 286 $12K
73564 1,056 859 $12K
75561 107 93 $12K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 104 103 $12K
73562 1,151 985 $11K
77066 Tomosynthesis, mammo 158 148 $10K
96133 96 93 $10K
85097 262 243 $10K
90472 Immunization administration, each additional vaccine (list separately) 791 653 $10K
0071A 368 241 $9K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 34 25 $9K
94726 777 741 $9K
81003 3,601 3,418 $9K
76882 341 278 $8K
51798 662 621 $8K
72040 648 613 $8K
76827 218 199 $8K
93018 528 513 $8K
73552 807 666 $8K
90480 306 287 $8K
99201 225 217 $7K
99282 Emergency department visit for the evaluation and management, low to moderate severity 268 259 $7K
99468 13 12 $7K
0054A 222 191 $7K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 240 214 $7K
91065 852 681 $7K
76885 170 155 $7K
93295 179 175 $7K
38222 91 91 $7K
77427 53 24 $7K
80053 Comprehensive metabolic panel 522 499 $6K
99308 Subsequent nursing facility care, per day, straightforward 471 413 $6K
92136 251 223 $6K
73700 108 95 $6K
99307 127 111 $6K
93272 191 188 $6K
92310 96 86 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 634 598 $6K
V5241 Dispensing fee, monaural hearing aid, any type 28 25 $6K
70250 400 377 $5K
36558 14 14 $5K
V2784 Lens, polycarbonate or equal, any index, per lens 1,104 1,093 $5K
0004A 135 134 $5K
81025 612 576 $5K
95885 135 133 $5K
77001 431 371 $5K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 252 250 $5K
0124A 154 136 $5K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 111 97 $5K
88304 357 327 $5K
88104 157 128 $5K
73070 585 495 $5K
95812 100 95 $5K
80061 Lipid panel 276 266 $4K
99309 Subsequent nursing facility care, per day, low to moderate complexity 320 289 $4K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 339 321 $4K
95886 65 63 $4K
90785 636 363 $4K
88331 46 25 $4K
86079 93 90 $4K
0011A 139 139 $4K
96118 27 27 $4K
76857 177 166 $4K
96132 97 94 $4K
93922 265 253 $4K
99219 59 51 $3K
76881 133 121 $3K
0012A 134 129 $3K
0052A 112 85 $3K
70546 60 52 $3K
73521 330 323 $3K
0082A 94 72 $3K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 128 71 $3K
88341 61 27 $3K
11100 109 98 $3K
93297 167 158 $3K
96101 18 12 $3K
96450 46 37 $2K
96130 64 63 $2K
99221 114 101 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 25 25 $2K
90677 129 119 $2K
88381 59 55 $2K
96131 36 36 $2K
95909 13 12 $2K
0064A 103 51 $2K
90836 66 37 $2K
31622 14 13 $2K
76377 24 24 $2K
77065 Tomosynthesis, mammo 43 39 $2K
72131 27 25 $2K
93784 12 12 $1K
74328 41 39 $1K
90656 199 199 $1K
0081A 63 33 $1K
73090 156 136 $1K
72156 13 13 $1K
64642 18 18 $1K
95983 43 40 $1K
V2756 Eye glass case 1,241 1,230 $1K
76937 117 106 $1K
64643 29 27 $1K
96116 40 40 $1K
72158 12 12 $1K
91200 128 127 $1K
76514 157 146 $1K
88321 32 26 $1K
90461 781 761 $1K
96137 22 12 $1K
96136 39 38 $1K
0083A 26 26 $1K
95874 115 106 $962.09
11104 16 15 $950.66
88187 23 13 $949.53
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 49 48 $932.36
0051A 48 23 $928.00
73551 52 41 $916.50
99072 11,629 10,349 $914.76
90651 26 25 $890.73
83655 52 52 $801.03
0074A 31 29 $800.00
80048 Basic metabolic panel (calcium, ionized) 84 78 $773.53
92225 26 12 $771.41
64483 12 12 $727.47
76942 47 40 $725.56
85027 87 86 $695.58
62252 25 25 $686.89
88173 14 12 $681.22
93016 25 24 $645.00
36620 12 12 $604.28
95930 30 27 $544.97
0134A 13 13 $525.60
99218 14 14 $524.88
92250 33 30 $453.62
73140 85 76 $416.77
99224 19 12 $412.43
99140 30 29 $387.20
96159 16 12 $348.46
90849 16 16 $346.57
73060 18 13 $310.11
76870 14 14 $309.88
93880 14 12 $301.16
36568 13 12 $295.83
99305 14 14 $290.50
90474 40 32 $222.46
96381 13 12 $214.56
88313 13 13 $202.18
70355 19 17 $187.80
90715 14 14 $166.12
92025 13 12 $164.46
36416 387 350 $160.06
90670 349 336 $159.57
92593 26 25 $149.34
95970 58 56 $148.27
72110 12 12 $130.63
96161 13 12 $107.75
92558 12 12 $96.81
99188 12 12 $84.54
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 29 26 $84.18
85018 26 26 $79.80
90685 14 14 $64.26
81001 14 14 $59.67
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 14 13 $54.93
J1885 Injection, ketorolac tromethamine, per 15 mg 13 13 $36.29
81000 18 16 $31.95
Q3014 Telehealth originating site facility fee 62 61 $31.21
90648 73 72 $27.49
3074F 15 15 $20.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 14 13 $8.68
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 25 25 $2.60
91307 498 475 $0.00
84132 18 12 $0.00
90697 224 210 $0.00
99024 1,028 576 $0.00
G9008 Coordinated care fee, physician coordinated care oversight services 62 62 $0.00
90723 55 55 $0.00
H0038 Self-help/peer services, per 15 minutes 72 72 $0.00
0500F 51 51 $0.00
90680 189 178 $0.00
91306 57 48 $0.00
91305 388 334 $0.00
91301 209 205 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 25 25 $0.00
93264 16 16 $0.00
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 14 14 $0.00
82435 18 12 $0.00
0502F 2,821 2,115 $0.00
91300 1,783 1,751 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 2,387 1,744 $0.00
84520 47 24 $0.00
3085F 108 96 $0.00
3078F 13 13 $0.00
93356 68 67 $0.00
91312 92 90 $0.00
82565 48 26 $0.00
91308 182 162 $0.00
84295 18 12 $0.00
91311 33 24 $0.00
90633 28 28 $0.00
82374 18 12 $0.00
82310 18 12 $0.00
91313 13 13 $0.00