Medicaid Provider Spending

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

SHINING LIGHT FAMILY HEALTH NP PC

NPI: 1497240683 · BRONX, NY 10456 · Family Medicine Physician · NPI assigned 06/29/2018

$33K
Total Medicaid Paid
47,234
Total Claims
42,957
Beneficiaries
45
Codes Billed
2018-07
First Month
2024-10
Last Month

Provider Details

Authorized OfficialVIRGIL, LIDIA (PRESIDENT/CEO)
NPI Enumeration Date06/29/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 38 $0.00
2019 978 $9K
2020 4,643 $12K
2021 8,944 $2K
2022 11,349 $4K
2023 14,390 $5K
2024 6,892 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,903 2,696 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,387 2,175 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 714 704 $5K
99442 649 575 $920.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 155 155 $868.55
92551 493 493 $645.37
90460 Immunization administration through 18 years of age via any route, first or only component 44 44 $600.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,904 1,752 $581.20
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 591 590 $480.53
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 26 26 $466.98
93000 33 33 $447.97
3074F 1,474 1,401 $275.60
3078F 1,139 1,096 $154.76
36415 Collection of venous blood by venipuncture 1,247 1,238 $50.75
3079F 77 68 $25.44
90686 350 349 $19.59
H0001 Alcohol and/or drug assessment 1,480 1,391 $14.20
1159F 3,363 2,816 $8.50
99441 533 482 $5.00
1126F 1,003 951 $4.25
1160F 352 281 $4.25
99173 348 348 $3.46
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 1,114 1,038 $0.00
2001F 2,471 2,314 $0.00
2010F 2,966 2,645 $0.00
1000F 989 854 $0.00
3008F 3,179 2,934 $0.00
81001 231 231 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 971 907 $0.00
0001F 2,811 2,602 $0.00
90656 51 51 $0.00
1036F 900 775 $0.00
G9275 Documentation that patient is a current non-tobacco user 27 27 $0.00
90654 14 14 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 6,450 5,327 $0.00
3725F 909 852 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 599 561 $0.00
G0444 Annual depression screening, 5 to 15 minutes 18 18 $0.00
3016F 709 659 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 84 82 $0.00
0521F 1,112 1,045 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 244 237 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 96 96 $0.00
99408 12 12 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 12 12 $0.00