Medicaid Provider Spending

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

SETH, PRIYANKA

NPI: 1528350352 · WEST SPRINGFIELD, MA 01089 · Physician Assistant · NPI assigned 05/12/2011

$193K
Total Medicaid Paid
3,305
Total Claims
2,377
Beneficiaries
4
Codes Billed
2018-11
First Month
2024-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 66 $3K
2019 325 $15K
2020 220 $11K
2021 270 $21K
2022 354 $29K
2023 1,541 $89K
2024 529 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,316 892 $100K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,343 951 $58K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 385 307 $22K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 261 227 $13K