Medicaid Provider Spending

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

WMC PHYSICIAN PRACTICES LLC

NPI: 1518303288 · BURGETTSTOWN, PA 15021 · 208600000X

$7.62M
Total Medicaid Paid
304,822
Total Claims
252,565
Beneficiaries
152
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 46,757 $1.24M
2019 37,204 $721K
2020 53,612 $1.08M
2021 46,189 $1.10M
2022 53,355 $1.29M
2023 43,874 $1.23M
2024 23,831 $964K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 74,345 62,769 $3.25M
99214 26,824 24,121 $1.55M
99232 17,865 5,407 $481K
99203 3,735 3,479 $222K
99204 2,046 1,871 $177K
99391 2,378 2,012 $137K
99392 1,851 1,709 $125K
99215 Prolong outpt/office vis 1,643 1,466 $115K
99222 1,597 1,196 $103K
93010 15,169 12,913 $93K
43239 1,075 983 $90K
99395 1,077 1,033 $78K
90471 5,109 4,502 $76K
93306 2,166 2,062 $74K
99308 11,392 9,516 $71K
99212 3,048 2,568 $65K
90472 2,259 2,007 $57K
99238 1,048 934 $43K
99396 513 502 $42K
99393 534 506 $38K
20610 1,014 717 $38K
G0444 Depression screen annual 3,640 3,523 $30K
81025 2,442 2,278 $29K
99460 481 434 $26K
51798 2,219 1,930 $25K
90670 1,426 1,066 $25K
G8754 Dias bp less 90 12,268 10,629 $24K
99394 300 285 $24K
G0101 Ca screen;pelvic/breast exam 1,304 1,269 $24K
96372 2,139 1,769 $23K
G8417 Calc bmi abv up param f/u 8,807 7,664 $22K
45380 152 138 $21K
99220 187 164 $20K
G8752 Sys bp less 140 9,763 8,490 $20K
99309 2,766 2,483 $17K
81002 3,766 3,198 $16K
52000 353 324 $16K
78452 436 412 $16K
G8731 Pain neg no plan 2,801 2,503 $16K
G9622 No unheal etoh user 5,703 5,010 $15K
3008F 3,648 3,064 $14K
G8427 Docrev cur meds by elig clin 7,798 6,537 $13K
99205 Prolong outpt/office vis 124 115 $12K
90686 1,445 1,108 $12K
G8730 Pain doc pos and plan 2,871 2,514 $12K
99223 Prolong inpt eval add15 m 143 105 $11K
J3301 Triamcinolone acet inj nos 1,391 1,211 $10K
59025 300 189 $10K
G8510 Scr dep neg, no plan reqd 5,546 4,802 $9K
90648 1,691 1,263 $8K
G8428 Cur meds not document 1,273 974 $8K
99239 113 102 $8K
90723 1,089 794 $8K
1036F 3,047 2,664 $7K
59430 40 37 $7K
52332 103 90 $7K
93016 446 431 $7K
90674 341 300 $7K
90460 488 234 $7K
99335 489 399 $6K
4004F 1,968 1,726 $6K
95909 114 99 $5K
G9717 Doc pt dx bipol 1,768 1,539 $5K
3074F 4,011 3,390 $5K
93018 445 430 $5K
90680 833 598 $5K
3044F 1,697 1,483 $4K
G8753 Sys bp > or = 140 2,018 1,754 $4K
93970 65 64 $4K
99442 250 204 $4K
3078F 3,112 2,645 $4K
93000 359 336 $3K
87880 258 217 $3K
92551 410 380 $3K
99406 293 251 $3K
92557 113 104 $3K
Q0091 Obtaining screen pap smear 213 207 $3K
99462 90 62 $3K
96110 416 353 $2K
99217 51 46 $2K
95810 29 26 $2K
1160F 376 333 $2K
45385 12 12 $2K
4008F 1,627 1,378 $2K
G8755 Dias bp > or = 90 857 739 $2K
92567 148 133 $1K
90710 85 74 $1K
3079F 2,703 2,325 $1K
95886 43 38 $1K
90677 307 236 $1K
90756 54 49 $1K
99173 414 370 $1K
4010F 550 471 $1K
36415 288 250 $1K
G8483 Flu imm no admin doc rea 156 131 $884.66
90688 38 35 $698.95
96127 215 188 $608.87
87210 148 71 $603.34
J0696 Ceftriaxone sodium injection 14 12 $552.15
99202 23 21 $547.45
99443 29 28 $535.55
G9744 Pt not eli d/t act dig htn 122 103 $496.68
1125F 99 90 $486.95
4086F 1,069 911 $465.90
3011F 201 166 $465.22
76937 62 54 $416.68
93244 24 24 $405.23
90633 282 194 $397.88
1090F 84 78 $385.44
3077F 808 689 $374.16
95816 13 13 $333.82
G8482 Flu immunize order/admin 59 49 $330.60
G8431 Pos clin depres scrn f/u doc 234 215 $311.27
3080F 208 180 $261.01
90661 31 31 $258.87
3075F 1,061 920 $210.62
99484 28 28 $200.30
J1050 Medroxyprogesterone acetate 510 490 $176.49
G8476 Bp sys <140 and dias <90 919 764 $175.25
90656 57 55 $156.45
83655 14 14 $154.25
99441 12 12 $151.46
94664 16 12 $150.66
99233 Prolong inpt eval add15 m 18 12 $82.57
99490 Ccm add 20min 12 12 $81.43
94760 139 110 $53.27
3045F 12 12 $52.90
85018 13 13 $28.02
96161 15 15 $25.80
J7614 Levalbuterol non-comp unit 17 12 $0.58
4013F 638 522 $0.25
3048F 76 64 $0.12
1124F 20 14 $0.07
G8967 Warf or other fda drug presc 16 13 $0.02
2010F 397 332 $0.01
G8420 Calc bmi norm parameters 117 90 $0.01
0502F 254 201 $0.00
90715 20 13 $0.00
G9796 Pt currently on statin 15 13 $0.00
G8783 Bp scrn perf rec interval 14 13 $0.00
3725F 41 39 $0.00
3288F 55 50 $0.00
90734 49 37 $0.00
G0447 Behavior counsel obesity 15m 48 42 $0.00
1126F 31 27 $0.00
1101F 56 53 $0.00
G9189 Beta pres or already taking 49 43 $0.00
G8419 Calc bmi out nrm param nof/u 98 88 $0.00
1111F 14 13 $0.00
99000 20 13 $0.00
G0439 Ppps, subseq visit 16 12 $0.00
0513F 12 12 $0.00