Medicaid Provider Spending

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

DOTHOUSE HEALTH INC.

NPI: 1578514733 · DORCHESTER, MA 02122 · Clinic/Center · NPI assigned 05/13/2006

$39.00M
Total Medicaid Paid
937,250
Total Claims
840,166
Beneficiaries
228
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHAMPION, SHARON (CREDENTIALING COORDINATOR)
Parent OrganizationDOTHOUSE HEALTH INC.
NPI Enumeration Date05/13/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 151,519 $6.29M
2019 142,645 $5.89M
2020 115,593 $5.76M
2021 145,690 $6.65M
2022 125,693 $6.68M
2023 126,947 $4.19M
2024 129,163 $3.53M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 170,236 151,261 $12.48M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 82,688 77,736 $6.33M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 28,419 27,772 $2.23M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 24,480 21,851 $1.88M
90834 Psychotherapy, 45 minutes with patient 18,443 12,925 $1.29M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 10,071 9,392 $966K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9,695 9,684 $835K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8,748 8,737 $742K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 8,587 8,579 $740K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,241 7,031 $655K
92340 Fitting of spectacles, except for aphakia; monofocal 19,717 16,469 $559K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 6,541 6,432 $550K
D9450 49,062 31,804 $547K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 6,283 6,228 $499K
D1110 Prophylaxis - adult 13,597 10,257 $376K
90651 4,238 4,195 $331K
90686 19,705 19,265 $318K
77067 Screening mammography, bilateral, including computer-aided detection 3,571 3,540 $317K
D0210 Intraoral - complete series of radiographic images 8,278 6,228 $298K
90832 Psychotherapy, 30 minutes with patient 7,053 5,424 $298K
D1120 Prophylaxis - child 5,105 5,032 $255K
D0120 Periodic oral evaluation - established patient 14,942 12,079 $237K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5,566 5,161 $233K
96110 Developmental screening, with scoring and documentation, per standardized instrument 20,065 19,981 $205K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 10,174 9,093 $204K
D7140 Extraction, erupted tooth or exposed root 4,182 1,583 $189K
D2391 Resin-based composite - one surface, posterior, primary or permanent 5,873 3,543 $177K
92015 Determination of refractive state 14,188 13,993 $173K
90837 Psychotherapy, 53 minutes with patient 1,626 1,108 $166K
D1206 Topical application of fluoride varnish 6,299 6,158 $162K
99050 9,800 9,448 $159K
97802 2,561 2,515 $139K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3,771 2,617 $133K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,139 1,118 $127K
83036 Hemoglobin; glycosylated (A1C) 19,979 19,520 $125K
D0150 Comprehensive oral evaluation - new or established patient 5,391 4,118 $125K
99215 Prolong outpt/office vis 1,447 1,387 $122K
90460 Immunization administration through 18 years of age via any route, first or only component 21,163 20,637 $118K
90715 5,790 5,725 $115K
D0140 Limited oral evaluation - problem focused 4,597 2,825 $114K
77063 Screening digital breast tomosynthesis, bilateral 1,532 1,511 $113K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 17,281 16,770 $106K
D0274 Bitewings - four radiographic images 4,762 3,771 $104K
0001A 2,874 2,332 $103K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4,344 4,155 $99K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4,349 4,158 $99K
0002A 2,688 2,220 $99K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,910 1,380 $90K
99381 765 757 $89K
V2020 Frames, purchases 950 901 $76K
86703 8,650 8,360 $76K
90670 3,605 3,566 $72K
80061 Lipid panel 18,378 17,880 $72K
90480 1,883 1,847 $69K
92341 2,056 1,984 $68K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,587 1,567 $65K
84443 Thyroid stimulating hormone (TSH) 5,182 5,027 $63K
86780 5,845 5,672 $62K
T1015 Clinic visit/encounter, all-inclusive 655 625 $57K
99173 2,756 2,755 $57K
D0220 Intraoral - periapical first radiographic image 5,096 3,447 $56K
D1351 Sealant - per tooth 1,458 392 $56K
86803 6,169 5,959 $55K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 320 289 $54K
82274 4,788 4,734 $53K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 462 445 $52K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 839 780 $50K
90791 Psychiatric diagnostic evaluation 375 374 $50K
97803 1,023 1,007 $49K
90734 1,969 1,960 $46K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 611 576 $43K
90677 1,252 1,235 $41K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7,169 6,916 $41K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 382 371 $41K
80053 Comprehensive metabolic panel 8,255 7,976 $40K
90716 1,704 1,683 $38K
99051 6,071 5,498 $37K
0012A 991 794 $36K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 342 339 $35K
0004A 781 780 $35K
90633 3,569 3,544 $31K
85027 5,869 5,753 $31K
86706 4,546 4,378 $30K
0011A 900 773 $27K
80048 Basic metabolic panel (calcium, ionized) 7,327 7,067 $27K
D2331 646 430 $26K
D0272 Bitewings - two radiographic images 879 852 $25K
D2740 Crown - porcelain/ceramic 80 64 $24K
90691 1,076 1,074 $23K
84703 4,415 4,145 $23K
0134A 689 668 $23K
D0330 Panoramic radiographic image 396 315 $22K
99385 345 329 $21K
D0180 1,299 791 $20K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,998 3,769 $19K
0064A 551 551 $18K
90739 867 859 $18K
99188 655 654 $18K
90853 Group psychotherapy (other than of a multiple-family group) 1,606 400 $17K
D0230 Intraoral - periapical each additional radiographic image 1,754 1,018 $17K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 251 239 $17K
0054A 411 409 $17K
90707 1,740 1,723 $16K
90656 901 887 $15K
0071A 318 318 $14K
D2330 421 226 $14K
0031A 473 267 $14K
90680 995 989 $13K
92133 737 729 $13K
90847 Family psychotherapy with the patient present, 50 minutes 119 96 $12K
81025 2,371 2,173 $12K
D2150 Silver amalgam - two surfaces, primary or permanent 183 148 $12K
99442 630 604 $12K
82043 2,790 2,744 $12K
87210 2,961 2,813 $11K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 423 403 $11K
90887 359 335 $11K
87430 1,080 1,015 $11K
0072A 245 245 $11K
0124A 467 447 $11K
D4341 351 113 $11K
99441 483 461 $11K
82570 2,734 2,693 $10K
81003 5,493 5,282 $9K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 120 53 $9K
90792 Psychiatric diagnostic evaluation with medical services 84 84 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 729 687 $8K
71046 Radiologic examination, chest; 2 views 280 272 $7K
99443 662 634 $7K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 233 231 $7K
87340 728 716 $6K
80076 940 929 $6K
G0008 Administration of influenza virus vaccine 1,005 844 $6K
90472 Immunization administration, each additional vaccine (list separately) 2,781 2,717 $6K
ATP14 531 500 $5K
97810 377 260 $5K
90696 826 820 $5K
86580 584 559 $5K
36415 Collection of venous blood by venipuncture 12,272 11,257 $4K
D0145 Oral evaluation for a patient under three years of age 147 146 $4K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 148 111 $4K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 52 51 $4K
99386 93 83 $4K
90733 684 675 $4K
99383 39 39 $3K
90648 1,556 1,547 $3K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 52 49 $3K
0013A 73 73 $3K
90710 985 979 $3K
85018 1,323 1,322 $3K
90846 Family psychotherapy without the patient present, 50 minutes 29 26 $3K
80050 General health panel 154 154 $3K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 3,158 3,105 $2K
90732 117 117 $2K
11721 153 151 $2K
0052A 50 50 $2K
H0046 Mental health services, not otherwise specified 92 78 $2K
83014 329 318 $2K
90713 311 310 $2K
69210 12 12 $2K
ATP08 209 202 $2K
81001 658 614 $2K
D2950 30 24 $2K
92083 70 69 $2K
0051A 32 32 $1K
90714 43 43 $1K
90678 13 13 $1K
83721 228 221 $1K
0111A 40 40 $1K
0144A 29 28 $1K
90632 37 37 $1K
99397 92 92 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 32 28 $945.58
84460 287 286 $859.16
82947 166 166 $819.42
0154A 17 17 $779.79
92134 42 42 $766.23
84702 55 49 $735.49
0074A 33 33 $652.98
90744 1,454 1,441 $578.69
ATP17 54 52 $576.74
90723 462 460 $566.64
0112A 12 12 $550.56
ATP03 107 86 $508.00
90698 1,451 1,432 $478.06
92551 43 42 $409.67
85610 113 94 $405.48
91301 1,662 1,315 $361.74
90700 933 926 $293.91
90461 369 350 $291.51
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 79 79 $279.95
90661 534 534 $169.38
93000 12 12 $154.13
91306 422 408 $120.02
90473 915 911 $119.01
ATP11 13 13 $118.43
S3005 Performance measurement, evaluation of patient self assessment, depression 12 12 $106.30
84450 38 38 $101.86
90746 12 12 $70.90
85014 26 26 $63.44
90474 76 75 $57.12
2022F 1,440 1,428 $43.02
99000 44 42 $40.60
99406 17 16 $10.98
81015 29 29 $5.38
D1330 90 56 $2.80
91322 1,528 1,471 $0.20
91305 593 576 $0.03
90681 382 375 $0.00
91300 6,269 4,683 $0.00
91313 698 676 $0.00
91312 462 443 $0.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 29 28 $0.00
91321 312 307 $0.00
90685 130 130 $0.00
91311 84 80 $0.00
91308 12 12 $0.00
2020F 65 65 $0.00
91303 482 276 $0.00
90619 44 44 $0.00
90697 640 629 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 70 67 $0.00
91307 269 255 $0.00
91314 31 30 $0.00
90688 12 12 $0.00
91315 19 19 $0.00
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 27 27 $0.00
36416 28 28 $0.00