Medicaid Provider Spending

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

CANOVA INTERNAL MEDICINE CLINIC,PA.

NPI: 1558643478 · LAREDO, TX 78041 · Internal Medicine Physician · NPI assigned 09/16/2011

$256K
Total Medicaid Paid
16,537
Total Claims
10,503
Beneficiaries
43
Codes Billed
2018-01
First Month
2022-01
Last Month

Provider Details

Authorized OfficialCANOVA, EDUARDO (PRESIDENT)
NPI Enumeration Date09/16/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,024 $76K
2019 4,438 $135K
2020 3,836 $17K
2021 3,176 $25K
2022 63 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99444 3,333 846 $188K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,360 1,265 $18K
99423 580 152 $17K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,092 980 $14K
99497 287 280 $7K
95923 256 236 $4K
99308 Subsequent nursing facility care, per day, straightforward 2,265 393 $3K
99490 Ccm add 20min 504 504 $2K
99215 Prolong outpt/office vis 54 41 $979.08
99232 Subsequent hospital care, per day, moderate complexity 166 61 $573.20
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 109 96 $288.16
99421 45 12 $120.13
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 12 $57.76
G0245 Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education 19 12 $56.70
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 46 41 $35.37
0011A 14 14 $16.94
93000 38 37 $16.49
G8753 Most recent systolic blood pressure >= 140 mmhg 244 225 $0.00
G0444 Annual depression screening, 5 to 15 minutes 237 223 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 500 436 $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) 12 12 $0.00
76706 57 52 $0.00
G8482 Influenza immunization administered or previously received 42 42 $0.00
G8539 Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment 42 27 $0.00
90756 54 52 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 13 12 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 13 12 $0.00
1126F 1,121 930 $0.00
G0008 Administration of influenza virus vaccine 175 168 $0.00
82962 1,344 1,105 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 359 354 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 819 706 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 128 125 $0.00
1036F 210 194 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 273 218 $0.00
1101F 20 20 $0.00
1170F 326 263 $0.00
4010F 49 36 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 85 85 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 90 85 $0.00
99406 22 22 $0.00
90674 80 76 $0.00
90686 41 41 $0.00