Medicaid Provider Spending

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

REGINALD M ROUSSEAU MD PC

NPI: 1568047967 · BAY SHORE, NY 11706 · Pain Medicine (Anesthesiology) Physician · NPI assigned 03/17/2021

$18K
Total Medicaid Paid
212
Total Claims
198
Beneficiaries
2
Codes Billed
2023-10
First Month
2024-07
Last Month

Provider Details

Authorized OfficialROUSSEAU, REGINALD (OWNER)
NPI Enumeration Date03/17/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 15 $999.63
2024 197 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 122 109 $10K
G3002 Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) 90 89 $8K