Medicaid Provider Spending

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

GOODSIDE HEALTH MEDICAL, PLLC

NPI: 1548999451 · FORT WORTH, TX 76107 · Clinical Medical Laboratory · NPI assigned 06/07/2022

$705K
Total Medicaid Paid
38,666
Total Claims
33,974
Beneficiaries
26
Codes Billed
2023-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialREYES, GERARDO (OWNER)
NPI Enumeration Date06/07/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 21,294 $303K
2024 17,372 $402K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,621 4,573 $232K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,729 2,648 $86K
99383 859 850 $64K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,556 6,381 $59K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,372 1,329 $58K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,275 2,577 $47K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 603 597 $44K
99384 2,714 2,411 $43K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,338 1,286 $42K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 398 392 $11K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 292 290 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 220 218 $4K
92551 828 814 $4K
99401 1,169 1,027 $882.00
99382 12 12 $850.82
96127 1,224 1,070 $682.50
96160 204 198 $182.96
96136 390 355 $180.53
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,847 1,650 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 2,243 1,889 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,126 965 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 16 15 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,518 1,369 $0.00
99173 663 646 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 326 298 $0.00
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 123 114 $0.00