Medicaid Provider Spending

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

D.H. MEDICAL, LLC

NPI: 1477855815 · PORT ORANGE, FL 32127 · Family Medicine Physician · NPI assigned 11/17/2010

$599K
Total Medicaid Paid
174,876
Total Claims
87,119
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHEISE, DAVID (OWNER)
NPI Enumeration Date11/17/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,882 $50.08
2019 14,845 $27K
2020 23,716 $84K
2021 31,945 $122K
2022 38,994 $71K
2023 35,753 $213K
2024 24,741 $81K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99307 78,395 32,422 $268K
99308 Subsequent nursing facility care, per day, straightforward 25,411 12,353 $146K
99490 Ccm add 20min 29,972 20,284 $61K
99348 6,176 2,697 $31K
99334 10,685 4,985 $21K
99305 1,764 1,044 $17K
11721 5,596 3,809 $13K
99306 Prolong nursin fac eval 15m 610 456 $11K
99347 1,978 948 $7K
11056 1,082 765 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,486 905 $5K
99335 1,697 904 $5K
11055 525 355 $3K
11043 101 26 $1K
99304 94 77 $917.40
99309 Subsequent nursing facility care, per day, low to moderate complexity 159 78 $765.22
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment 103 77 $639.42
99325 187 102 $601.50
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 1,299 921 $458.17
99497 2,363 1,509 $404.67
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 279 200 $246.11
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 36 15 $237.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 589 406 $232.96
11720 14 12 $103.88
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 1,079 690 $12.22
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 60 43 $0.00
99336 1,028 941 $0.00
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 46 46 $0.00
99337 35 35 $0.00
99406 27 14 $0.00