Medicaid Provider Spending

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

NORTHERN MANHATTAN MEDICAL PC

NPI: 1538846951 · NEW YORK, NY 10033 · Internal Medicine Physician · NPI assigned 06/28/2023

$3K
Total Medicaid Paid
9,039
Total Claims
8,811
Beneficiaries
35
Codes Billed
2023-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPENA, JACOBO (OWNER/CHIEF OF STAFF)
NPI Enumeration Date06/28/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 439 $46.80
2024 8,600 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 393 380 $1K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 269 269 $1K
99386 91 91 $324.22
97802 270 270 $273.90
36415 Collection of venous blood by venipuncture 170 170 $56.00
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening 394 373 $27.00
82947 14 13 $11.79
94760 266 266 $1.56
3008F 478 454 $0.00
H0002 Behavioral health screening to determine eligibility for admission to treatment program 234 234 $0.00
4293F 154 154 $0.00
1000F 138 138 $0.00
1125F 346 330 $0.00
2010F 369 366 $0.00
3044F 296 281 $0.00
1036F 137 137 $0.00
3011F 303 286 $0.00
1126F 344 328 $0.00
2001F 367 364 $0.00
3048F 304 287 $0.00
2000F 368 365 $0.00
H0001 Alcohol and/or drug assessment 233 233 $0.00
3074F 328 325 $0.00
1101F 27 27 $0.00
3078F 330 327 $0.00
G9383 Patient received screening for hcv infection within the 12 month reporting period 396 374 $0.00
1159F 450 430 $0.00
3725F 155 155 $0.00
1160F 449 429 $0.00
G9820 Documentation of a chlamydia screening test with proper follow-up 268 262 $0.00
3028F 264 261 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 194 193 $0.00
3016F 161 160 $0.00
2028F 52 52 $0.00
1175F 27 27 $0.00