Medicaid Provider Spending

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

CROKE, FRANCIS

NPI: 1487733549 · HOLYOKE, MA 01040 · Internal Medicine Physician · NPI assigned 11/02/2006

$195K
Total Medicaid Paid
9,854
Total Claims
9,039
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,805 $27K
2019 2,297 $37K
2020 1,564 $32K
2021 1,657 $27K
2022 1,224 $22K
2023 888 $30K
2024 419 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,739 2,619 $123K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,363 1,344 $54K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,859 3,190 $14K
90686 254 254 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 103 103 $2K
90662 14 14 $121.96
90756 40 40 $72.70
G0008 Administration of influenza virus vaccine 190 189 $57.48
G8754 Most recent diastolic blood pressure < 90 mmhg 112 112 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 29 29 $0.00
1036F 61 61 $0.00
G9716 Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason 24 24 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 908 902 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 66 66 $0.00
G8482 Influenza immunization administered or previously received 49 49 $0.00
4040F 43 43 $0.00