Medicaid Provider Spending

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

DOMI HEALTHCARE LLC

NPI: 1548891385 · NORTH BERGEN, NJ 07047 · Family Medicine Physician · NPI assigned 01/30/2020

$48K
Total Medicaid Paid
9,763
Total Claims
6,454
Beneficiaries
17
Codes Billed
2024-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDOMINGUEZ, JONATHAN (OWNER / PHYSICIAN)
NPI Enumeration Date01/30/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 9,763 $48K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,510 1,624 $33K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 729 493 $6K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 3,004 1,927 $3K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 758 526 $2K
76981 66 41 $1K
96127 454 334 $634.52
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 106 71 $413.27
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 17 15 $393.16
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 28 20 $197.74
99439 114 69 $108.15
99497 21 12 $106.86
82962 253 142 $48.46
3074F 54 35 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,104 768 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 240 172 $0.00
99490 Ccm add 20min 243 167 $0.00
3078F 62 38 $0.00