Medicaid Provider Spending

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

DOUGLAS, WINSTON

NPI: 1548297328 · BUFFALO, NY 14211 · Internal Medicine Physician · NPI assigned 06/27/2006

$138K
Total Medicaid Paid
10,940
Total Claims
10,492
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,411 $24K
2019 2,606 $23K
2020 1,347 $17K
2021 657 $9K
2022 1,002 $29K
2023 770 $28K
2024 147 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,448 3,306 $116K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 922 901 $19K
99443 192 178 $2K
93000 144 142 $732.81
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 22 20 $111.95
1005F 1,006 957 $0.00
3074F 187 179 $0.00
82962 12 12 $0.00
3079F 233 228 $0.00
3075F 12 12 $0.00
1111F 893 845 $0.00
1000F 346 335 $0.00
3017F 336 321 $0.00
3080F 281 265 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 49 49 $0.00
4000F 89 88 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 493 473 $0.00
1160F 1,105 1,052 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 480 457 $0.00
G8484 Influenza immunization was not administered, reason not given 238 234 $0.00
2028F 166 166 $0.00
3077F 134 127 $0.00
3288F 14 12 $0.00
3023F 67 65 $0.00
3078F 44 43 $0.00
4040F 14 12 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 13 13 $0.00