Medicaid Provider Spending

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

1477983039

NPI: 1477983039

Deactivated NPI · This NPI was deactivated on 04/22/2020.
$197K
Total Medicaid Paid
21,047
Total Claims
14,019
Beneficiaries
42
Codes Billed
2018-01
First Month
2020-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,916 $171K
2019 10,770 $9K
2020 2,361 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,380 2,869 $77K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,380 2,707 $70K
90853 Group psychotherapy (other than of a multiple-family group) 2,600 1,282 $19K
90834 Psychotherapy, 45 minutes with patient 294 188 $7K
99000 3,943 1,693 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 279 265 $3K
81025 461 242 $3K
90837 Psychotherapy, 53 minutes with patient 128 88 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 653 618 $2K
90733 14 14 $2K
92551 132 124 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $984.60
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14 14 $971.75
80377 531 242 $921.15
90749 193 185 $579.18
99406 95 92 $526.32
87430 35 33 $494.70
99173 152 145 $339.91
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 21 21 $304.86
90791 Psychiatric diagnostic evaluation 41 41 $298.68
90832 Psychotherapy, 30 minutes with patient 145 92 $284.90
90715 14 14 $236.91
81002 84 75 $228.88
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 36 31 $186.42
36416 253 226 $130.96
82962 132 113 $74.72
90472 Immunization administration, each additional vaccine (list separately) 13 13 $34.20
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,443 2,048 $4.67
81001 12 12 $3.17
G8482 Influenza immunization administered or previously received 213 183 $0.44
96127 79 79 $0.00
81000 12 12 $0.00
H0049 Alcohol and/or drug screening 13 13 $0.00
90686 40 39 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 26 26 $0.00
36415 Collection of venous blood by venipuncture 12 12 $0.00
96160 71 71 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 15 15 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 22 16 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 24 24 $0.00
96153 15 15 $0.00
80061 Lipid panel 15 15 $0.00