Medicaid Provider Spending

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

ALBA, JUAN

NPI: 1578649059 · NEW YORK, NY 10033 · Family Medicine Physician · NPI assigned 10/27/2006

$122K
Total Medicaid Paid
57,207
Total Claims
54,510
Beneficiaries
66
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,825 $36K
2019 7,637 $29K
2020 7,604 $14K
2021 9,692 $22K
2022 7,170 $3K
2023 9,125 $11K
2024 7,154 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,378 2,375 $52K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,433 1,420 $19K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 576 573 $11K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 893 879 $10K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 783 777 $8K
36415 Collection of venous blood by venipuncture 5,345 5,072 $4K
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 216 216 $3K
0012A 82 82 $3K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 3,649 3,638 $3K
0011A 84 84 $3K
99397 110 110 $2K
H0001 Alcohol and/or drug assessment 3,662 3,655 $1K
97802 694 692 $1K
93000 76 76 $914.10
0064A 24 24 $640.00
G0102 Prostate cancer screening; digital rectal examination 64 64 $416.61
3078F 1,153 1,146 $374.50
3074F 1,085 1,080 $345.00
1160F 2,021 2,006 $212.50
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 3,535 3,527 $80.44
3075F 323 321 $44.50
3079F 361 359 $35.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,102 1,064 $15.00
A4556 Electrodes, (e.g., apnea monitor), per pair 75 75 $12.38
3008F 4,577 4,468 $0.25
91306 37 37 $0.08
G8783 Normal blood pressure reading documented, follow-up not required 1,012 1,010 $0.00
G9150 National committee for quality assurance - level 3 medical home 2,034 2,030 $0.00
1159F 476 476 $0.00
3016F 2,714 2,706 $0.00
3725F 2,769 2,762 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 804 801 $0.00
G9383 Patient received screening for hcv infection within the 12 month reporting period 270 270 $0.00
99080 2,396 306 $0.00
3288F 68 68 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 44 44 $0.00
1090F 69 69 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 67 67 $0.00
G9820 Documentation of a chlamydia screening test with proper follow-up 49 49 $0.00
1158F 42 42 $0.00
0518F 69 69 $0.00
G8598 Aspirin or another antiplatelet therapy used 32 32 $0.00
2028F 34 34 $0.00
4013F 46 46 $0.00
1494F 55 55 $0.00
3015F 13 12 $0.00
4320F 36 36 $0.00
G8404 Lower extremity neurological exam performed and documented 13 13 $0.00
1000F 2,707 2,695 $0.00
G8734 Elder maltreatment screen documented as negative, follow-up is not required 77 77 $0.00
4293F 359 355 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 957 953 $0.00
1170F 57 57 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,737 1,729 $0.00
1036F 2,670 2,666 $0.00
3017F 250 238 $0.00
3014F 142 136 $0.00
1220F 293 287 $0.00
91301 169 163 $0.00
4010F 30 30 $0.00
1126F 28 28 $0.00
3061F 34 33 $0.00
4086F 45 45 $0.00
99429 28 27 $0.00
2010F 160 160 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 14 14 $0.00