Medicaid Provider Spending

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

SPERA, DOMINIC

NPI: 1578544276 · LAWRENCE, NY 11559 · Internal Medicine Physician · NPI assigned 11/09/2005

$31K
Total Medicaid Paid
7,393
Total Claims
6,608
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,288 $6K
2019 2,731 $9K
2020 2,027 $12K
2021 215 $203.71
2022 17 $266.93
2023 47 $2K
2024 68 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 926 839 $29K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32 30 $882.90
99215 Prolong outpt/office vis 13 12 $459.88
93000 12 12 $117.13
94760 1,231 1,077 $63.32
36415 Collection of venous blood by venipuncture 169 159 $36.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 70 66 $16.00
3074F 516 473 $10.00
99000 420 391 $10.00
3078F 231 218 $5.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 17 15 $4.50
3075F 68 66 $2.50
3028F 1,079 945 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 26 26 $0.00
3077F 27 26 $0.00
99401 77 70 $0.00
3037F 1,060 929 $0.00
3079F 358 331 $0.00
3008F 1,061 923 $0.00