Medicaid Provider Spending

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

OPAL MEDICAL GROUP, P.A.

NPI: 1477639862 · HAGERSTOWN, MD 21740 · Internal Medicine Physician · NPI assigned 10/27/2006

$1.94M
Total Medicaid Paid
46,212
Total Claims
25,232
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOSE, AMY (OFFICE MANAGER)
NPI Enumeration Date10/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,512 $648K
2019 8,402 $328K
2020 7,809 $276K
2021 6,319 $218K
2022 4,387 $152K
2023 3,982 $159K
2024 3,801 $155K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 28,647 13,051 $1.03M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,130 4,218 $433K
99308 Subsequent nursing facility care, per day, straightforward 8,988 5,504 $309K
99310 Prolong nursin fac eval 15m 2,008 1,301 $106K
99306 Prolong nursin fac eval 15m 190 156 $21K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 239 205 $12K
99307 245 180 $8K
99215 Prolong outpt/office vis 35 33 $5K
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) 292 237 $4K
99232 Subsequent hospital care, per day, moderate complexity 60 14 $4K
99318 31 29 $3K
99305 15 14 $2K
99497 122 114 $866.53
90682 15 14 $747.32
99356 16 13 $667.91
90688 37 34 $387.42
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 14 $209.16
G0008 Administration of influenza virus vaccine 83 57 $17.14
G0444 Annual depression screening, 5 to 15 minutes 14 14 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 30 30 $-1007.80