Medicaid Provider Spending

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

SPINE AND PAIN CONSULTANT, PLLC

NPI: 1477792232 · STATEN ISLAND, NY 10305 · Pain Medicine (Anesthesiology) Physician · NPI assigned 02/18/2009

$1.24M
Total Medicaid Paid
46,694
Total Claims
44,208
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHAPMAN, KENNETH (MEDICAL DIRECTOR)
NPI Enumeration Date02/18/2009

Related Entities

Other providers sharing the same authorized official: CHAPMAN, KENNETH

ProviderCityStateTotal Paid
SPECIALTY ANESTHESIA, PLLC STATEN ISLAND NY $46K
CHARTER TOWNSHIP OF HIGHLAND HIGHLAND MI $45K
RICHMOND ASC LLC STATEN ISLAND NY $12K
MANTRO MOBILE IMAGING LLC WHITTIER CA $6K
MANTRO MOBILE IMAGING LLC LAS VEGAS NV $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,553 $120K
2019 3,451 $151K
2020 3,529 $134K
2021 3,402 $156K
2022 9,356 $224K
2023 13,227 $234K
2024 11,176 $225K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,137 7,682 $639K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,812 8,300 $482K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 386 378 $44K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 272 271 $24K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 147 147 $17K
80306 1,489 1,472 $8K
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 44 44 $7K
64493 24 24 $5K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,722 3,476 $5K
64495 24 24 $3K
64494 24 24 $3K
99401 140 139 $3K
99442 32 32 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 22 21 $634.92
86769 14 14 $435.82
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 417 400 $200.15
S0020 Injection, bupivicaine hydrochloride, 30 ml 199 184 $129.06
81025 24 24 $86.35
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 7,672 7,237 $67.78
36415 Collection of venous blood by venipuncture 17 17 $4.86
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 5,587 5,290 $4.84
G9903 Patient screened for tobacco use and identified as a tobacco non-user 4,733 4,480 $0.01
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 1,279 1,222 $0.01
G9902 Patient screened for tobacco use and identified as a tobacco user 1,033 988 $0.01
1036F 2,444 2,318 $0.00