Medicaid Provider Spending

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

FOX, CHESTER

NPI: 1548201551 · BUFFALO, NY 14208 · Family Medicine Physician · NPI assigned 06/09/2006

$348K
Total Medicaid Paid
12,863
Total Claims
12,407
Beneficiaries
25
Codes Billed
2018-01
First Month
2022-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,466 $69K
2019 3,413 $91K
2020 1,750 $64K
2021 2,869 $77K
2022 1,365 $47K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,996 8,613 $233K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,308 2,274 $106K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 292 276 $5K
94060 65 65 $993.83
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 13 $857.35
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 77 74 $778.81
93000 127 127 $599.85
0012A 12 12 $504.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 35 32 $219.66
99441 19 19 $179.56
4004F 72 71 $0.00
G9900 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified 50 49 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 243 235 $0.00
G8484 Influenza immunization was not administered, reason not given 86 86 $0.00
G9905 Patient not screened for tobacco use 14 14 $0.00
G8482 Influenza immunization administered or previously received 44 44 $0.00
3078F 13 12 $0.00
3074F 73 68 $0.00
1036F 114 114 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 120 120 $0.00
83036 Hemoglobin; glycosylated (A1C) 12 12 $0.00
91301 14 14 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 33 33 $0.00
1123F 14 14 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 16 16 $0.00