Medicaid Provider Spending

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

PECONIC BAY PRIMARY MEDICAL CARE

NPI: 1487620613 · MATTITUCK, NY 11952 · Internal Medicine Physician · NPI assigned 02/27/2006

$3.39M
Total Medicaid Paid
45,952
Total Claims
43,224
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialO'DONNELL, MICHAEL (CFO)
NPI Enumeration Date02/27/2006

Related Entities

Other providers sharing the same authorized official: O'DONNELL, MICHAEL

ProviderCityStateTotal Paid
GREAT FLORIDA SMILES & ORTHODONTICS PCB, PLLC PANAMA CITY BEACH FL $9K
MICHAEL T. O'DONNELL, D.M.D, P.A. SANTA ROSA BEACH FL $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,596 $172K
2019 4,348 $255K
2020 6,511 $342K
2021 10,307 $630K
2022 8,678 $746K
2023 8,450 $764K
2024 5,062 $484K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,465 20,092 $1.64M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,944 12,263 $1.29M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,114 1,114 $171K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,189 1,161 $40K
87428 754 725 $32K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 745 726 $31K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,544 1,497 $18K
86328 560 538 $14K
90460 Immunization administration through 18 years of age via any route, first or only component 797 789 $13K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 102 101 $13K
99460 140 140 $13K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 98 96 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 149 149 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 926 483 $12K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 73 73 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 67 67 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 564 561 $7K
99238 Hospital discharge day management, 30 minutes or less 81 81 $6K
90686 366 365 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 129 129 $5K
99244 Office or other outpatient consultation, moderate to high complexity 25 25 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 38 38 $4K
73110 92 81 $4K
20610 43 38 $3K
90461 157 157 $3K
45380 Colonoscopy, flexible; with biopsy, single or multiple 12 12 $3K
93000 195 194 $3K
73030 71 67 $3K
36415 Collection of venous blood by venipuncture 1,160 1,116 $3K
99215 Prolong outpt/office vis 14 14 $2K
73130 29 27 $1K
73564 24 24 $1K
99243 12 12 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12 12 $1K
73502 27 26 $811.29
90682 12 12 $784.09
20553 13 12 $538.20
92551 43 43 $516.49
81003 108 106 $178.56
86318 14 14 $146.72
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 24 24 $77.92
90656 20 20 $0.00