Medicaid Provider Spending

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

ELM TREE CLINIC, LLC

NPI: 1538609904 · LOWELL, MA 01851 · Internal Medicine Physician · NPI assigned 03/03/2017

$8.31M
Total Medicaid Paid
150,532
Total Claims
110,255
Beneficiaries
18
Codes Billed
2019-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTOROSYAN, VICTOR (MEMBER)
NPI Enumeration Date03/03/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 17,108 $899K
2020 30,133 $1.65M
2021 25,576 $1.42M
2022 28,067 $1.60M
2023 28,800 $1.56M
2024 20,848 $1.18M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 37,225 29,574 $2.63M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 46,536 32,139 $1.85M
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 27,386 20,013 $1.46M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,851 15,165 $1.07M
G0481 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; 8-14 drug class(es), including metabolite(s) if performed 11,569 8,569 $957K
90834 Psychotherapy, 45 minutes with patient 3,704 1,713 $300K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 803 743 $12K
81025 1,858 1,830 $11K
90837 Psychotherapy, 53 minutes with patient 74 68 $8K
90832 Psychotherapy, 30 minutes with patient 192 131 $8K
90791 Psychiatric diagnostic evaluation 34 31 $4K
99215 Prolong outpt/office vis 25 25 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 56 54 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 139 138 $1K
90882 22 16 $567.11
99051 17 17 $231.84
80305 18 14 $115.96
99000 23 15 $18.00