Medicaid Provider Spending

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

MERCER BUCKS PULMONARY CRITICAL CARE SLEEP MEDICINE P.A.

NPI: 1497873541 · TRENTON, NJ 08618 · Pulmonary Disease Physician · NPI assigned 03/27/2007

$67K
Total Medicaid Paid
3,444
Total Claims
2,091
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-04
Last Month

Provider Details

Authorized OfficialGUGNANI, MANISH (PRESIDENT)
NPI Enumeration Date03/27/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 794 $40K
2019 318 $7K
2020 703 $4K
2021 486 $2K
2022 519 $6K
2023 486 $7K
2024 138 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 318 132 $32K
99233 Prolong inpt eval add15 m 1,260 595 $18K
99232 Subsequent hospital care, per day, moderate complexity 872 385 $11K
99223 Prolong inpt eval add15 m 131 125 $4K
99490 Ccm add 20min 417 409 $390.26
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). 88 88 $226.33
94060 15 15 $122.11
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 55 54 $74.06
94726 15 15 $38.41
94729 15 15 $26.55
94200 15 15 $12.00
99454 121 121 $0.00
99457 122 122 $0.00