Medicaid Provider Spending

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

ABC PEDIATRICS

NPI: 1548286552 · NICEVILLE, FL 32578 · Pediatrics Physician · NPI assigned 07/14/2006

$38K
Total Medicaid Paid
999
Total Claims
905
Beneficiaries
5
Codes Billed
2019-02
First Month
2024-04
Last Month

Provider Details

Authorized OfficialJOHNSON, LELA (OFFICE MANAGER)
NPI Enumeration Date07/14/2006

Related Entities

Other providers sharing the same authorized official: JOHNSON, LELA

ProviderCityStateTotal Paid
EAST KENTUCKY MEDICAL GROUP, PSC PIKEVILLE KY $159K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 678 $24K
2020 12 $455.16
2021 113 $5K
2022 120 $5K
2023 44 $2K
2024 32 $947.70

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 530 475 $21K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 317 281 $17K
90686 15 15 $117.97
90460 Immunization administration through 18 years of age via any route, first or only component 80 78 $10.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 57 56 $0.00