Medicaid Provider Spending

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

BROOKS - TLC HOSPITAL SYSTEM INC

NPI: 1538419502 · GOWANDA, NY 14070 · Family Medicine Physician · NPI assigned 09/17/2012

$77K
Total Medicaid Paid
2,182
Total Claims
2,125
Beneficiaries
4
Codes Billed
2020-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLAROWE, MARY (PRESIDENT/CEO)
NPI Enumeration Date09/17/2012

Related Entities

Other providers sharing the same authorized official: LAROWE, MARY

ProviderCityStateTotal Paid
BROOKS - TLC HOSPITAL SYSTEM, INC. DERBY NY $389K
BROOKS-TLC HOSPITAL SYSTEM, INC. DUNKIRK NY $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 42 $2K
2021 749 $27K
2022 763 $26K
2023 401 $16K
2024 227 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,336 1,294 $35K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 616 606 $29K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 217 213 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 12 $80.73