Medicaid Provider Spending

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

YAO, QIKAI

NPI: 1578633533 · ELMHURST, NY 11373 · Pediatrics Physician · NPI assigned 11/08/2006

$7.65M
Total Medicaid Paid
226,346
Total Claims
212,139
Beneficiaries
107
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,890 $580K
2019 20,621 $773K
2020 32,210 $891K
2021 32,762 $1.19M
2022 40,084 $1.54M
2023 37,238 $1.39M
2024 48,541 $1.29M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40,543 31,315 $3.88M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6,308 6,054 $738K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,036 5,823 $644K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,560 6,304 $414K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,720 2,597 $287K
90460 Immunization administration through 18 years of age via any route, first or only component 6,868 6,775 $226K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,756 1,699 $211K
86580 9,215 9,188 $96K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,111 1,984 $94K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,637 4,569 $82K
92551 8,753 8,737 $78K
99188 5,925 5,774 $77K
S9449 Weight management classes, non-physician provider, per session 9,798 9,585 $73K
S9451 Exercise classes, non-physician provider, per session 9,597 9,382 $63K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 2,456 2,454 $61K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 345 339 $56K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 554 539 $55K
90620 979 979 $52K
97802 9,764 9,624 $51K
G0444 Annual depression screening, 5 to 15 minutes 4,729 4,719 $31K
S9452 Nutrition classes, non-physician provider, per session 2,962 2,936 $29K
87110 1,585 1,585 $29K
81000 8,072 8,055 $28K
90472 Immunization administration, each additional vaccine (list separately) 1,129 1,117 $26K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,080 3,014 $23K
H0049 Alcohol and/or drug screening 1,819 1,815 $17K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 113 113 $16K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 141 141 $16K
36410 4,260 4,247 $15K
92587 673 671 $15K
86769 1,021 1,019 $12K
S9470 Nutritional counseling, dietitian visit 7,510 7,448 $11K
0001A 260 238 $10K
0002A 245 244 $10K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 70 69 $10K
90658 618 617 $9K
0072A 215 215 $9K
90686 2,970 2,962 $8K
0071A 191 188 $8K
83655 886 884 $8K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,933 2,922 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 365 359 $5K
90651 1,031 1,031 $5K
0003A 116 116 $5K
90672 1,854 1,851 $4K
99173 6,981 6,964 $4K
90473 237 237 $4K
90715 419 419 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 249 247 $4K
36415 Collection of venous blood by venipuncture 5,207 5,195 $4K
0064A 53 53 $2K
87270 2,318 2,316 $2K
0004A 54 51 $2K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 759 733 $2K
81002 657 651 $2K
99384 12 12 $2K
99383 13 13 $2K
D1206 Topical application of fluoride varnish 50 49 $1K
90677 12 12 $1K
0012A 32 32 $1K
0031A 37 37 $1K
0011A 32 32 $1K
96127 2,385 2,367 $1K
83013 14 14 $943.04
90657 76 76 $931.86
91307 394 366 $804.63
90461 56 56 $713.95
90716 138 136 $676.05
90656 438 438 $622.23
3074F 1,370 1,329 $617.50
3078F 1,354 1,313 $612.50
0073A 12 12 $501.24
90734 876 875 $424.90
90707 127 126 $365.43
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) 14 14 $213.46
91306 45 45 $170.90
96160 41 39 $151.63
91300 585 493 $103.65
90744 26 26 $97.80
90660 127 127 $74.56
91308 12 12 $50.06
99484 17 17 $50.00
99000 820 819 $40.76
3079F 40 39 $40.00
36406 13 13 $35.07
S9441 Asthma education, non-physician provider, per session 12 12 $23.57
G9275 Documentation that patient is a current non-tobacco user 646 530 $20.00
3075F 14 14 $20.00
91301 60 58 $0.04
3011F 1,829 1,779 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 2,614 1,855 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,010 968 $0.00
1036F 646 530 $0.00
3008F 4,031 2,899 $0.00
1000F 646 530 $0.00
99496 40 40 $0.00
1111F 29 29 $0.00
90696 12 12 $0.00
3725F 2,831 2,810 $0.00
90670 127 127 $0.00
97803 556 520 $0.00
90713 104 104 $0.00
90700 105 105 $0.00
90633 80 79 $0.00
90648 14 14 $0.00
4120F 52 51 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,013 971 $0.00