Medicaid Provider Spending

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

1578524112

NPI: 1578524112

$2.26M
Total Medicaid Paid
197,383
Total Claims
168,730
Beneficiaries
100
Codes Billed
2018-01
First Month
2023-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 30,064 $492K
2019 34,658 $444K
2020 29,012 $373K
2021 37,238 $387K
2022 43,246 $366K
2023 23,165 $202K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 31,030 26,957 $1.07M
93306 4,687 4,449 $282K
99213 8,096 7,057 $265K
93000 12,501 11,879 $137K
99233 Prolong inpt eval add15 m 10,281 2,268 $121K
99203 1,102 1,100 $69K
99215 Prolong outpt/office vis 1,469 1,394 $53K
93015 763 722 $42K
99205 Prolong outpt/office vis 702 656 $42K
99396 451 451 $23K
93351 204 194 $22K
99497 1,413 1,286 $21K
99395 310 310 $16K
93224 187 177 $13K
99204 196 170 $13K
90688 962 919 $11K
99212 302 287 $9K
90471 811 796 $9K
93010 2,157 1,688 $8K
96127 7,663 6,795 $7K
99408 1,182 1,056 $7K
99223 Prolong inpt eval add15 m 435 395 $6K
99232 521 135 $4K
99254 28 28 $3K
99406 535 511 $2K
93356 169 144 $2K
93880 82 67 $2K
99072 9,980 8,321 $2K
94010 45 45 $781.08
99496 12 12 $777.06
78452 50 42 $510.07
90662 130 119 $455.96
99423 16 16 $298.48
G0443 Brief alcohol misuse counsel 179 134 $260.01
93018 12 12 $250.05
G0008 Admin influenza virus vac 367 327 $193.80
90658 14 14 $190.22
G0439 Ppps, subseq visit 330 277 $184.10
G0447 Behavior counsel obesity 15m 334 259 $178.85
G0444 Depression screen annual 528 433 $168.04
G0442 Annual alcohol screen 15 min 528 436 $160.52
99422 20 20 $97.21
93308 12 12 $95.99
86580 34 31 $91.76
G0446 Intens behave ther cardio dx 355 279 $79.62
G2012 Brief check in by md/qhp 15 14 $18.37
G8417 Calc bmi abv up param f/u 13,370 11,525 $0.00
G8752 Sys bp less 140 1,938 1,663 $0.00
1124F 602 587 $0.00
3077F 265 255 $0.00
G8431 Pos clin depres scrn f/u doc 698 666 $0.00
G8482 Flu immunize order/admin 424 389 $0.00
3078F 7,882 7,085 $0.00
4040F 484 449 $0.00
G8731 Pain neg no plan 284 269 $0.00
G8598 Asa/antiplat ther used 607 559 $0.00
G8477 Bp sys>=140 and/or dias >=90 165 155 $0.00
G8427 Docrev cur meds by elig clin 2,446 2,179 $0.00
M1055 Aspirin used 25 25 $0.00
3046F 796 675 $0.00
G8476 Bp sys <140 and dias <90 94 87 $0.00
G2089 A1c level 7 to 9% 33 32 $0.00
G9744 Pt not eli d/t act dig htn 123 114 $0.00
3288F 467 402 $0.00
G8783 Bp scrn perf rec interval 731 582 $0.00
G8511 Scr dep pos, no plan doc rng 18 18 $0.00
G8483 Flu imm no admin doc rea 13 12 $0.00
3051F 23 19 $0.00
G8753 Sys bp > or = 140 15 12 $0.00
G8421 Bmi not calculated 19 15 $0.00
G8418 Calc bmi blw low param f/u 859 724 $0.00
1036F 1,665 1,527 $0.00
G8420 Calc bmi norm parameters 11,291 9,827 $0.00
3074F 6,718 6,055 $0.00
G8473 Ace/arb thxpy rx'd 2,510 2,168 $0.00
3008F 6,176 5,988 $0.00
3079F 3,782 3,468 $0.00
G8510 Scr dep neg, no plan reqd 5,331 4,997 $0.00
4086F 5,569 4,885 $0.00
3044F 1,408 1,125 $0.00
3075F 4,103 3,783 $0.00
3017F 362 328 $0.00
G8950 Pre-htn or htn doc, f/u indc 1,323 1,227 $0.00
4008F 4,606 4,160 $0.00
1000F 1,973 1,869 $0.00
G8754 Dias bp less 90 2,047 1,755 $0.00
G8419 Calc bmi out nrm param nof/u 990 805 $0.00
G9903 Pt scrn tbco id as non user 1,105 952 $0.00
G9189 Beta pres or already taking 557 521 $0.00
G8734 Doc neg eld req 324 292 $0.00
1111F 673 626 $0.00
4010F 806 761 $0.00
G9906 Pt recv tbco cess interv 80 62 $0.00
4210F 64 62 $0.00
H0049 Alcohol/drug screening 65 65 $0.00
G9902 Pt scrn tbco and id as user 108 88 $0.00
3014F 14 13 $0.00
M1200 Ace-i/arb rx 17 16 $0.00
G8475 Ace/arb thxpy not rx'd 119 100 $0.00
G9717 Doc pt dx bipol 16 13 $0.00