Medicaid Provider Spending

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

HOPE SURGICAL, PLLC

NPI: 1558972794 · PORT HURON, MI 48060 · Surgery Physician · NPI assigned 08/12/2020

$21K
Total Medicaid Paid
2,465
Total Claims
2,231
Beneficiaries
16
Codes Billed
2021-02
First Month
2024-02
Last Month

Provider Details

Authorized OfficialMCFARLANE, KAREN (MD)
NPI Enumeration Date08/12/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 895 $10K
2022 1,315 $9K
2023 128 $1K
2024 127 $759.10

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 209 208 $13K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 211 196 $6K
99222 Initial hospital care, per day, moderate complexity 15 14 $1K
99232 Subsequent hospital care, per day, moderate complexity 21 13 $759.10
G9903 Patient screened for tobacco use and identified as a tobacco non-user 435 390 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 78 75 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 48 45 $0.00
G9307 No return to the operating room for a surgical procedure, for complications of the principal operative procedure, within 30 days of the principal operative procedure 15 12 $0.00
M1207 Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety 48 44 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 669 592 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 533 468 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 98 91 $0.00
G9316 Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family 13 13 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 42 42 $0.00
99072 17 16 $0.00
G9968 Patient was referred to another clinician or specialist during the measurement period 13 12 $0.00