Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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1528238276

NPI: 1528238276

Deactivated NPI · This NPI was deactivated on 05/03/2017.
$53.55M
Total Medicaid Paid
451,675
Total Claims
332,204
Beneficiaries
86
Codes Billed
2018-01
First Month
2023-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26,671 $2.32M
2019 96,327 $12.38M
2020 85,789 $10.98M
2021 110,902 $13.88M
2022 123,162 $12.67M
2023 8,824 $1.31M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 49,983 21,871 $16.33M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 20,730 6,656 $7.47M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 48,819 42,686 $5.54M
99233 Prolong inpt eval add15 m 51,973 19,506 $3.88M
99223 Prolong inpt eval add15 m 14,096 13,263 $3.00M
92586 39,713 36,992 $2.17M
99239 Hospital discharge day management, more than 30 minutes 36,419 33,874 $1.91M
99215 Prolong outpt/office vis 15,125 12,242 $1.89M
92650 31,294 26,495 $1.69M
99464 17,242 15,957 $1.52M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 13,504 11,430 $1.06M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 8,323 6,903 $1.05M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,705 10,792 $869K
99222 Initial hospital care, per day, moderate complexity 5,589 5,111 $844K
99244 Office or other outpatient consultation, moderate to high complexity 2,376 2,305 $777K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,919 1,333 $470K
99468 575 537 $433K
99232 Subsequent hospital care, per day, moderate complexity 9,107 5,405 $392K
99292 1,924 1,343 $253K
99255 629 572 $192K
99243 1,348 1,297 $189K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 2,001 1,771 $182K
99480 Subsequent intensive care, per day, low birth weight infant 1,960 1,390 $159K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 25,215 19,214 $156K
76825 929 765 $141K
99460 1,581 1,468 $124K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 736 612 $92K
93304 1,127 985 $91K
99205 Prolong outpt/office vis 547 390 $89K
93000 14,301 12,417 $89K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,185 1,008 $72K
99254 237 224 $49K
99245 171 165 $43K
99462 1,723 1,362 $27K
99479 Subsequent intensive care, per day, very low birth weight infant 209 128 $19K
76827 931 766 $18K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 71 71 $14K
85060 790 653 $14K
99219 116 107 $13K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,721 1,580 $13K
36415 Collection of venous blood by venipuncture 2,216 1,716 $13K
59410 14 14 $12K
76770 241 136 $12K
76775 198 182 $11K
54161 63 63 $10K
99471 14 12 $10K
93325 1,300 1,079 $10K
99238 Hospital discharge day management, 30 minutes or less 516 488 $9K
92587 756 661 $9K
94010 596 571 $9K
99476 27 25 $9K
99236 Prolong inpt eval add15 m 46 39 $9K
99221 235 213 $9K
99466 14 14 $8K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 80 79 $6K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 70 58 $6K
99308 Subsequent nursing facility care, per day, straightforward 85 80 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 54 53 $5K
99442 170 142 $5K
99220 25 24 $5K
90460 Immunization administration through 18 years of age via any route, first or only component 520 337 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 105 93 $4K
99217 63 52 $4K
59025 Fetal non-stress test 618 514 $4K
81002 2,546 2,121 $4K
99443 69 61 $3K
99157 13 12 $3K
96900 176 117 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 194 156 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 108 78 $2K
99253 16 12 $1K
93308 55 55 $1K
99284 Emergency department visit for the evaluation and management, high severity 13 13 $1K
92651 58 55 $951.07
90461 73 54 $816.00
92504 123 118 $224.99
85044 995 891 $152.43
94726 31 13 $97.97
94060 41 12 $53.90
J7050 Infusion, normal saline solution, 250 cc 25 12 $10.41
90686 13 13 $0.00
90698 27 27 $0.00
90680 27 27 $0.00
99024 74 38 $0.00
99467 14 14 $0.00
90670 14 14 $0.00