Medicaid Provider Spending

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

VAIL HEALTHCARE MEDICAL PLLC

NPI: 1487051207 · BRONX, NY 10459 · Family Medicine Physician · NPI assigned 11/21/2014

$1.10M
Total Medicaid Paid
45,095
Total Claims
39,174
Beneficiaries
56
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDELEON, SAMUEL (PRESIDENT)
NPI Enumeration Date11/21/2014

Related Entities

Other providers sharing the same authorized official: DELEON, SAMUEL

ProviderCityStateTotal Paid
URBAN HEALTH PLAN, INC. BRONX NY $61.73M
MULTIMEDIC MEDICAL SERVICES PLLC BRONX NY $55K
URBAN HEALTH PLAN, INC. BRONX NY $29K
URBAN HEALTH PLAN, INC. CORONA NY $9K
URBAN HEALTH PLAN, INC BRONX NY $1K
URBAN HEALTH PLAN, INC. BRONX NY $863.27

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,740 $342K
2019 7,537 $290K
2020 3,121 $8K
2021 4,628 $11K
2022 5,615 $27K
2023 8,321 $132K
2024 9,133 $287K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,591 1,574 $271K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,563 4,012 $265K
93880 687 663 $107K
93975 299 277 $63K
95923 768 753 $62K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,079 2,817 $56K
95912 306 251 $42K
76700 Ultrasound, abdominal, real time with image documentation; complete 387 387 $32K
95921 543 542 $27K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 184 183 $21K
93922 217 217 $14K
93925 68 68 $14K
92540 221 221 $14K
92546 221 221 $13K
93923 90 90 $12K
93015 185 184 $11K
76536 116 116 $8K
93000 638 609 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 68 68 $7K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 97 97 $6K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 15 15 $5K
95886 86 86 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 266 259 $5K
92537 221 221 $5K
36415 Collection of venous blood by venipuncture 3,972 3,611 $3K
93970 47 47 $3K
95913 26 26 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 158 152 $2K
76830 Ultrasound, transvaginal 27 27 $2K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 185 184 $2K
J2785 Injection, regadenoson, 0.1 mg 183 182 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 14 $1K
82962 3,423 2,969 $1K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 185 184 $936.54
3074F 582 563 $827.68
3078F 574 552 $827.64
93308 16 13 $471.73
1159F 3,624 3,168 $465.03
90686 35 35 $438.99
1170F 935 860 $415.27
1160F 3,427 3,022 $395.05
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 73 73 $361.97
1126F 3,366 2,978 $361.47
90656 49 49 $307.79
90756 14 14 $160.73
3077F 43 40 $92.50
99215 Prolong outpt/office vis 44 42 $79.46
3080F 14 12 $50.00
3079F 24 24 $40.00
1125F 533 509 $25.23
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 162 150 $1.75
3044F 96 89 $0.04
1220F 5,132 4,512 $0.00
1121F 1,148 1,077 $0.00
92548 51 49 $0.00
1036F 17 16 $0.00