Medicaid Provider Spending

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

ADULT AND PEDIATRIC CLINIC, PC

NPI: 1497935605 · ROCKVILLE, MD 20850 · General Practice Physician · NPI assigned 11/06/2007

$54K
Total Medicaid Paid
1,141
Total Claims
869
Beneficiaries
11
Codes Billed
2020-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialMITTAL, SHAMA (MEDICAL DIRECTOR)
NPI Enumeration Date11/06/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 212 $11K
2021 166 $9K
2022 367 $15K
2023 243 $16K
2024 153 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 667 480 $48K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 45 37 $5K
96127 196 165 $775.18
G8510 Screening for depression is documented as negative, a follow-up plan is not required 73 59 $270.00
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 16 16 $235.01
90688 15 12 $219.01
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 34 24 $162.96
G9903 Patient screened for tobacco use and identified as a tobacco non-user 39 32 $63.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 21 17 $54.50
3008F 17 13 $24.00
G8482 Influenza immunization administered or previously received 18 14 $21.00