Medicaid Provider Spending

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

BUSTLETON HEALTHCARE

NPI: 1588107668 · PHILADELPHIA, PA 19115 · Medical Specialty Clinic/Center · NPI assigned 11/22/2016

$28K
Total Medicaid Paid
659
Total Claims
570
Beneficiaries
5
Codes Billed
2018-03
First Month
2023-05
Last Month

Provider Details

Authorized OfficialJOUKOVA, IRINA (PRESIDENT)
Parent OrganizationCARDIOLOGY CONSULTANTS OF GREATER PHILADELPHIA PC
NPI Enumeration Date11/22/2016

Related Entities

Other providers sharing the same authorized official: JOUKOVA, IRINA

ProviderCityStateTotal Paid
CARDIOLOGY CONSULTANTS OF GREATER PHILADELPHIA PC PHILADELPHIA PA $248K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 240 $4K
2022 350 $20K
2023 69 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 467 380 $25K
93886 29 29 $1K
93880 34 34 $692.58
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 72 70 $463.75
93000 57 57 $268.99