Medicaid Provider Spending

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

GORDON, OLENA

NPI: 1528309705 · NILES, IL 60714 · Specialist · NPI assigned 03/12/2013

$457K
Total Medicaid Paid
13,574
Total Claims
11,991
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 860 $37K
2019 1,281 $51K
2020 2,729 $83K
2021 3,952 $139K
2022 2,180 $93K
2023 1,649 $39K
2024 923 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,249 4,687 $250K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,303 2,745 $126K
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 977 972 $22K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 235 185 $17K
93000 490 451 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 71 50 $6K
99215 Prolong outpt/office vis 397 380 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 56 34 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 386 366 $3K
92551 212 195 $3K
99173 403 321 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 178 156 $3K
96127 125 112 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 14 13 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 15 14 $1K
99490 Ccm add 20min 282 282 $637.30
99350 Prolong home eval add 15m 349 349 $600.02
81002 200 136 $504.40
99401 12 12 $300.00
87400 25 13 $288.32
36416 58 49 $237.80
90686 18 16 $209.84
85018 82 57 $190.24
90734 22 12 $140.80
90715 20 12 $128.00
36415 Collection of venous blood by venipuncture 90 68 $127.58
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 25 25 $125.53
36410 13 13 $125.50
99422 21 20 $121.38
99349 36 36 $98.40
99484 176 176 $0.00
97802 17 17 $0.00
S9451 Exercise classes, non-physician provider, per session 17 17 $0.00