Medicaid Provider Spending

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

PATIENT CHOICE MEDICAL CARE LLC

NPI: 1558715466 · HAMDEN, CT 06518 · Adult Health Nurse Practitioner · NPI assigned 04/17/2016

$574K
Total Medicaid Paid
9,921
Total Claims
8,016
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDESILVA, GARAMUNI (OWNER)
NPI Enumeration Date04/17/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,146 $47K
2019 1,248 $65K
2020 1,289 $76K
2021 1,542 $90K
2022 1,684 $104K
2023 1,600 $103K
2024 1,412 $87K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,190 4,165 $355K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,644 2,942 $195K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 243 194 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 34 33 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 25 24 $3K
93000 310 250 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity 109 89 $2K
96127 86 77 $1K
90686 106 86 $1K
99306 Prolong nursin fac eval 15m 14 12 $708.16
99327 12 12 $459.14
99336 18 12 $394.75
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) 85 79 $126.50
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 45 41 $0.00