Medicaid Provider Spending

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

RESTREPO, MAURICIO

NPI: 1568608370 · DOVER, NJ 07801 · Pediatrics Physician · NPI assigned 12/29/2008

$5.60M
Total Medicaid Paid
199,699
Total Claims
183,124
Beneficiaries
64
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,716 $682K
2019 23,028 $691K
2020 20,900 $570K
2021 23,146 $687K
2022 37,698 $1000K
2023 42,360 $1.10M
2024 32,851 $874K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 42,685 35,409 $2.63M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,048 4,913 $447K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,749 4,609 $420K
90460 Immunization administration through 18 years of age via any route, first or only component 16,017 15,340 $349K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,934 3,794 $315K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,115 3,004 $295K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,306 6,759 $272K
99441 3,213 2,696 $140K
99442 1,822 1,128 $123K
90461 5,116 4,890 $88K
96110 Developmental screening, with scoring and documentation, per standardized instrument 10,483 10,096 $79K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 732 705 $60K
99188 3,368 3,274 $59K
92558 8,439 8,022 $54K
90651 952 876 $34K
90670 1,581 1,526 $20K
90734 705 664 $17K
83655 3,323 3,095 $17K
90688 1,116 1,055 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,481 705 $16K
3008F 7,534 7,103 $15K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 144 139 $14K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 14,597 13,746 $14K
99381 191 174 $14K
90620 370 348 $11K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 111 106 $10K
99173 7,971 7,632 $9K
90710 735 695 $9K
99401 485 478 $8K
90716 331 289 $7K
90633 1,395 1,279 $5K
90677 224 216 $4K
90700 653 610 $4K
90697 523 493 $3K
S9451 Exercise classes, non-physician provider, per session 8,744 8,285 $3K
90707 181 155 $2K
90715 288 272 $2K
90649 80 80 $2K
S9470 Nutritional counseling, dietitian visit 8,267 7,947 $2K
90686 4,734 4,458 $1K
36416 348 347 $1K
90656 813 800 $1K
90680 592 560 $916.34
97802 9,033 8,665 $885.98
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 43 43 $761.53
90647 309 293 $758.64
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $725.46
90713 103 98 $630.86
90671 382 336 $616.11
90698 526 501 $560.08
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 47 44 $456.66
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 34 34 $419.16
90744 258 242 $313.40
87070 50 49 $251.80
90685 63 63 $243.50
87084 27 23 $169.19
99000 3,112 2,800 $28.10
H0004 Behavioral health counseling and therapy, per 15 minutes 190 188 $0.00
90696 231 210 $0.00
99091 113 111 $0.00
1159F 579 558 $0.00
90681 49 42 $0.00
90672 19 17 $0.00
4120F 23 23 $0.00