Medicaid Provider Spending

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

FAMILY MEDICINE OF MECHANICVILLE PLLC

NPI: 1487898425 · MECHANICVILLE, NY 12118 · Primary Care Clinic/Center · NPI assigned 04/21/2009

$73K
Total Medicaid Paid
1,509
Total Claims
1,339
Beneficiary Records
8
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBERMUDEZ, INGRID (OWNER)
NPI Enumeration Date04/21/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 187 $6K
2019 245 $12K
2020 201 $9K
2021 299 $13K
2022 232 $13K
2023 230 $13K
2024 115 $7K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,275 1,120 $62K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 116 115 $8K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 35 32 $968.05
0001A 14 14 $771.32
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 18 18 $372.42
90674 14 14 $292.30
G8510 Screening for depression is documented as negative, a follow-up plan is not required 12 12 $212.42
91300 25 14 $0.00