Medicaid Provider Spending

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

CLEANSLATE MEDICAL GROUP OF KENTUCKY PLLC

NPI: 1538600630 · LOUISVILLE, KY 40258 · Addiction Medicine (Internal Medicine) Physician · NPI assigned 03/09/2017

$10.48M
Total Medicaid Paid
230,228
Total Claims
142,738
Beneficiaries
25
Codes Billed
2018-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMOLAREK, MATTHEW (CFO)
NPI Enumeration Date03/09/2017

Related Entities

Other providers sharing the same authorized official: SMOLAREK, MATTHEW

ProviderCityStateTotal Paid
CLEANSLATE MEDICAL GROUP OF INDIANA LLC ALEXANDRIA IN $79.21M
TOTAL WELLNESS CENTERS, LLC HOLYOKE MA $77.17M
TOTAL WELLNESS CENTERS, LLC WEST SPRINGFIELD MA $38.42M
CLEANSLATE MEDICAL GROUP OF PENNSYLVANIA LLC WILKES BARRE PA $18.61M
CLEANSLATE MEDICAL GROUP OF WISCONSIN, SC GLENDALE WI $17.13M
CLEANSLATE MEDICAL GROUP OF OHIO LLC MORAINE OH $9.53M
CLEANSLATE MEDICAL GROUP OF VIRGINIA, LLC MECHANICSVILLE VA $4.28M
CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC GILBERT AZ $955K
CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC PHOENIX AZ $248K
CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC PHOENIX AZ $101K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 292 $13K
2019 17,512 $657K
2020 40,938 $1.45M
2021 43,684 $1.72M
2022 50,979 $2.28M
2023 42,867 $2.46M
2024 33,956 $1.91M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 133,603 77,130 $6.48M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 42,275 28,311 $1.48M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 27,861 16,713 $1.31M
T2023 Targeted case management; per month 1,361 1,280 $415K
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 3,872 2,917 $305K
90832 Psychotherapy, 30 minutes with patient 7,795 5,809 $288K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 613 522 $46K
90791 Psychiatric diagnostic evaluation 419 339 $32K
81025 5,113 4,561 $28K
99406 3,302 1,898 $20K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 386 300 $19K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 502 465 $17K
90834 Psychotherapy, 45 minutes with patient 202 166 $11K
Q3014 Telehealth originating site facility fee 1,799 1,324 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 248 185 $5K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 193 180 $4K
86803 184 170 $2K
87340 183 169 $2K
99215 Prolong outpt/office vis 16 16 $1K
90853 Group psychotherapy (other than of a multiple-family group) 61 57 $890.45
86704 42 40 $392.35
86706 46 44 $383.85
80076 40 35 $233.17
96127 84 82 $211.52
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 28 25 $151.51