Medicaid Provider Spending

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

DREXEL HILL PEDIATRIC ASSOCIATES

NPI: 1477680874 · SPRINGFIELD, PA 19064 · Pediatric Adolescent Medicine Physician · NPI assigned 02/27/2007

$1.86M
Total Medicaid Paid
109,311
Total Claims
106,719
Beneficiaries
53
Codes Billed
2018-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMCCARTHY, MATTHEW (VICE PRESIDENT)
NPI Enumeration Date02/27/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 547 $12K
2019 581 $9K
2020 5,962 $124K
2021 34,495 $519K
2022 31,980 $442K
2023 23,704 $480K
2024 12,042 $273K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90460 Immunization administration through 18 years of age via any route, first or only component 10,878 10,680 $373K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,982 2,955 $304K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,656 2,643 $282K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,206 2,178 $201K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,907 1,863 $187K
92551 8,699 8,576 $136K
90700 2,457 2,455 $63K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,706 14,245 $61K
90461 3,450 3,431 $57K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,221 2,178 $29K
90686 4,932 4,916 $28K
99188 1,524 1,517 $27K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,600 1,543 $14K
90713 1,837 1,835 $9K
90648 1,705 1,702 $8K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,320 1,087 $7K
90670 1,579 1,576 $7K
99173 8,741 8,586 $7K
90651 830 815 $5K
90621 475 474 $4K
0071A 104 96 $4K
90707 849 847 $4K
90633 840 837 $4K
90716 831 829 $4K
90688 419 419 $4K
90680 913 912 $3K
0072A 89 82 $3K
90744 737 737 $3K
36415 Collection of venous blood by venipuncture 582 580 $3K
3008F 830 775 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 24 24 $2K
90734 444 442 $2K
90715 355 353 $2K
96127 2,919 2,879 $2K
90656 236 230 $1K
90619 328 299 $1K
90677 105 105 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 145 145 $901.08
99238 Hospital discharge day management, 30 minutes or less 13 13 $544.44
0082A 13 13 $520.00
99000 2,339 2,292 $260.10
90472 Immunization administration, each additional vaccine (list separately) 13 13 $193.50
96110 Developmental screening, with scoring and documentation, per standardized instrument 221 216 $190.13
96161 493 487 $157.30
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 39 39 $130.00
99072 17,517 16,661 $104.85
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) 15 15 $76.20
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 43 42 $28.07
87081 75 73 $17.20
99051 825 800 $16.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 166 129 $11.51
91307 39 35 $0.00
96160 45 45 $0.00