Medicaid Provider Spending

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

PLATINUMCARE , LLC

NPI: 1558772087 · WASHINGTON, DC 20019 · Adult Medicine Physician · NPI assigned 05/19/2014

$1.01M
Total Medicaid Paid
28,964
Total Claims
24,361
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialMCLAUGHLIN EDWARDS, JACQUE (CEO)
NPI Enumeration Date05/19/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,460 $125K
2019 6,445 $197K
2020 2,486 $19K
2021 3,491 $130K
2022 3,895 $172K
2023 5,167 $254K
2024 2,020 $113K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 6,166 5,085 $488K
99401 7,695 6,314 $188K
99213 3,454 3,028 $171K
99354 808 689 $43K
99406 3,444 2,881 $34K
99212 889 763 $33K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 125 117 $11K
96372 566 463 $11K
93000 514 486 $6K
99496 28 24 $5K
99215 Prolong outpt/office vis 31 30 $4K
99408 132 92 $2K
36415 1,063 962 $2K
87481 41 41 $2K
82948 707 552 $2K
87591 38 38 $1K
87661 50 50 $1K
99203 15 13 $1K
81000 522 460 $1K
93922 26 13 $1K
87491 24 24 $831.84
94060 12 12 $628.65
81003 377 371 $519.69
90471 18 18 $225.44
90749 13 13 $109.33
87880 16 13 $79.32
97802 66 57 $61.30
J0696 Injection, ceftriaxone sodium, per 250 mg 33 27 $10.67
J1885 Injection, ketorolac tromethamine, per 15 mg 17 14 $3.69
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 588 480 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 64 55 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,422 1,176 $0.00