Medicaid Provider Spending

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

MARION PEDIATRICS LLC

NPI: 1497836340 · MARION, IN 46953 · Specialist · NPI assigned 10/18/2006

$5.99M
Total Medicaid Paid
163,800
Total Claims
138,451
Beneficiaries
56
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMAGGARD, DONNA (ACCOUNT MANAGER)
NPI Enumeration Date10/18/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24,969 $783K
2019 32,057 $1.04M
2020 28,824 $909K
2021 19,806 $824K
2022 24,572 $921K
2023 19,909 $810K
2024 13,663 $701K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36,789 29,624 $2.42M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,289 6,377 $697K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,540 5,630 $620K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,822 5,386 $560K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,433 4,125 $429K
90472 Immunization administration, each additional vaccine (list separately) 8,655 7,496 $210K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13,847 11,952 $175K
90460 Immunization administration through 18 years of age via any route, first or only component 4,370 3,709 $145K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,476 1,184 $131K
99381 1,190 1,050 $94K
83655 4,836 4,094 $60K
90461 2,246 1,915 $57K
87631 368 269 $47K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,463 1,106 $44K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,776 2,312 $44K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,614 3,971 $39K
90670 5,056 4,342 $38K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,827 732 $29K
99000 7,476 6,497 $24K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,145 743 $17K
36416 4,718 3,993 $16K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 132 104 $13K
90723 2,081 1,864 $11K
81002 3,872 3,288 $10K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 95 88 $8K
90686 4,505 3,879 $6K
81005 2,271 2,067 $5K
90716 1,036 846 $5K
87807 369 270 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 370 319 $4K
90707 1,026 842 $3K
90677 467 440 $3K
90651 786 722 $3K
90621 487 445 $2K
90734 1,573 1,453 $2K
90698 2,730 2,276 $2K
90680 1,941 1,626 $2K
90648 2,721 2,452 $2K
90710 821 695 $2K
A4605 Tracheal suction catheter, closed system, each 84 63 $2K
90620 299 271 $1K
99383 13 12 $1K
87084 105 100 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 61 48 $948.61
81025 108 90 $851.02
90744 1,549 1,271 $809.11
99173 667 618 $340.78
94760 355 308 $293.03
90633 2,857 2,407 $252.21
90685 512 466 $59.81
90715 526 481 $53.62
90696 742 621 $51.60
90700 364 323 $0.00
90681 1,298 1,150 $0.00
90649 12 12 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 29 27 $0.00