Medicaid Provider Spending

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

PHAM, DAN

NPI: 1518313659 · FALLS CHURCH, VA 22046 · Hospitalist Physician · NPI assigned 05/08/2016

$162K
Total Medicaid Paid
12,519
Total Claims
11,283
Beneficiaries
64
Codes Billed
2023-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 6,721 $78K
2024 5,798 $84K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,733 1,267 $54K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 772 722 $34K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 335 289 $18K
H0001 Alcohol and/or drug assessment 417 391 $9K
90677 71 65 $6K
99490 Ccm add 20min 1,039 1,012 $4K
91320 40 40 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 129 119 $3K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 205 178 $2K
99457 413 407 $2K
93000 313 293 $2K
3008F 566 498 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 38 36 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 17 16 $1K
99458 362 357 $1K
99397 47 44 $1K
G0444 Annual depression screening, 5 to 15 minutes 353 335 $1K
99439 500 487 $1K
36415 Collection of venous blood by venipuncture 901 844 $1K
3078F 284 254 $972.18
J3490 Unclassified drugs 191 165 $938.27
90661 39 39 $896.75
3077F 229 206 $847.28
3079F 166 153 $808.70
94010 46 45 $787.43
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 205 178 $742.48
90674 41 41 $711.44
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 224 193 $710.95
3074F 204 183 $688.60
99454 216 214 $686.32
93880 15 13 $629.46
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 88 81 $576.23
1000F 140 130 $545.00
99497 241 230 $369.26
90480 40 40 $356.13
1036F 173 148 $350.00
93925 14 12 $346.79
3075F 73 71 $322.50
3725F 162 141 $300.00
1160F 78 76 $273.58
1159F 78 76 $273.58
97750 39 36 $267.28
3288F 103 99 $250.00
1101F 100 96 $245.00
1100F 119 106 $200.00
90686 25 24 $199.47
3080F 67 63 $177.50
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 32 32 $110.82
99453 22 21 $98.98
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 219 191 $96.30
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) 13 13 $42.36
G9275 Documentation that patient is a current non-tobacco user 160 136 $36.21
96127 14 14 $24.30
G0009 Administration of pneumococcal vaccine 33 31 $5.85
G8510 Screening for depression is documented as negative, a follow-up plan is not required 150 130 $0.00
G0008 Administration of influenza virus vaccine 31 31 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 17 16 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 19 16 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 45 39 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 16 15 $0.00
99051 12 12 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 35 28 $0.00
G8477 Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg 18 15 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 32 30 $0.00