Medicaid Provider Spending

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

MANTE PEDIATRICS LLC

NPI: 1508063371 · LANCASTER, SC 29720 · Pediatrics Physician · NPI assigned 06/27/2007

$7.00M
Total Medicaid Paid
139,817
Total Claims
127,347
Beneficiaries
59
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMANTE, EBENEZER (OWNER)
NPI Enumeration Date06/27/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,475 $808K
2019 21,179 $927K
2020 16,978 $836K
2021 21,272 $1.08M
2022 22,165 $1.18M
2023 21,747 $1.19M
2024 17,001 $984K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 25,161 22,256 $2.50M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23,625 20,116 $1.62M
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 8,690 7,578 $434K
90460 Immunization administration through 18 years of age via any route, first or only component 8,888 8,436 $407K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,201 3,124 $319K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,317 2,869 $300K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,346 2,195 $256K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,277 2,152 $228K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,907 4,682 $139K
90461 3,552 3,427 $123K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 8,287 7,688 $119K
99215 Prolong outpt/office vis 536 490 $76K
97802 3,076 2,964 $76K
99051 4,264 4,005 $50K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,841 1,725 $41K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 980 947 $38K
G9153 Mapcp demonstration - physician incentive pool 826 783 $33K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,646 4,506 $33K
99381 300 246 $31K
97803 1,583 1,385 $29K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 588 548 $29K
96127 3,921 3,765 $27K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,040 1,859 $24K
87807 1,359 1,264 $16K
81002 4,086 3,783 $12K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 77 77 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 54 54 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,890 1,483 $7K
81025 637 603 $4K
99401 142 140 $4K
99383 28 26 $3K
99384 14 14 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 598 426 $1K
69210 43 42 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $1K
G9762 Patient had at least two hpv vaccines (with at least 146 days between the two) or three hpv vaccines on or between the patient's 9th and 13th birthdays 13 13 $450.00
80305 15 13 $137.62
94760 150 119 $69.37
90651 913 879 $0.00
90696 247 239 $0.00
90744 364 353 $0.00
90680 161 157 $0.00
90698 504 492 $0.00
90647 659 645 $0.00
90723 168 161 $0.00
90686 140 137 $0.00
90697 81 80 $0.00
99000 44 43 $0.00
90670 2,077 2,039 $0.00
90734 925 895 $0.00
90715 637 615 $0.00
90700 442 439 $0.00
90633 1,994 1,943 $0.00
90681 392 382 $0.00
90710 1,084 1,055 $0.00
90649 423 400 $0.00
90658 560 546 $0.00
90713 12 12 $0.00
90672 19 19 $0.00