Medicaid Provider Spending

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

1578816120

NPI: 1578816120

Deactivated NPI · This NPI was deactivated on 02/24/2025.
$2K
Total Medicaid Paid
16,972
Total Claims
16,611
Beneficiaries
24
Codes Billed
2018-01
First Month
2023-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 333 $457.84
2019 3,293 $307.83
2020 4,427 $336.59
2021 3,072 $107.62
2022 2,687 $345.84
2023 3,160 $403.92

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,489 2,418 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 99 99 $259.48
1036F 1,310 1,283 $0.30
1160F 2,129 2,081 $0.00
3078F 1,551 1,515 $0.00
3077F 108 106 $0.00
3016F 2,451 2,390 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 33 31 $0.00
3511F 13 13 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16 15 $0.00
3079F 415 409 $0.00
3008F 2,474 2,415 $0.00
36415 Collection of venous blood by venipuncture 1,114 1,111 $0.00
3074F 1,611 1,573 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 207 207 $0.00
94760 13 13 $0.00
3080F 54 54 $0.00
1034F 123 119 $0.00
1220F 189 189 $0.00
3075F 209 208 $0.00
3351F 182 182 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 26 26 $0.00
S9451 Exercise classes, non-physician provider, per session 12 12 $0.00
1125F 144 142 $0.00