Medicaid Provider Spending

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

OPHELIA MEDICAL GROUP FL, P.A.

NPI: 1588244750 · PHILADELPHIA, PA 19122 · Addiction Medicine (Psychiatry & Neurology) Physician · NPI assigned 04/12/2021

$10.65M
Total Medicaid Paid
113,257
Total Claims
96,673
Beneficiaries
18
Codes Billed
2022-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWILLIAMS, ARTHUR (CHIEF MEDICAL OFFICER)
NPI Enumeration Date04/12/2021

Related Entities

Other providers sharing the same authorized official: WILLIAMS, ARTHUR

ProviderCityStateTotal Paid
REHABILITATION MEDICAL ASSOCIATES, P.C. BRAINTREE MA $1.71M
SAN GABRIEL VALLEY CONSULTING PATHOLOGISTS MEDICAL GROUP, INC. WEST COVINA CA $695K
SAN GABRIEL VALLEY CONSULTING PATHOLOGISTS MEDICAL GROUP, INC. MONTEREY PARK CA $455K
SAN GABRIEL VALLEY CONSULTING PATHOLOGISTS MEDICAL GROUP, INC. MONTEREY PARK CA $371K
SAN GABRIEL VALLEY CONSULTING PATHOLOGISTS MEDICAL GROUP, INC. GLENDORA CA $299K
SAN GABRIEL VALLEY CONSULTING PATHOLOGISTS MEDICAL GROUP, INC. SOUTH EL MONTE CA $63K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 15,494 $919K
2023 41,397 $3.08M
2024 56,366 $6.65M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9012 Other specified case management service not elsewhere classified 13,881 13,822 $3.78M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 61,779 48,574 $3.14M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 6,897 6,882 $1.73M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,891 14,951 $702K
99491 Ccm add 20min 3,710 3,664 $366K
99340 1,769 1,729 $291K
99437 3,647 3,639 $253K
H0006 Alcohol and/or drug services; case management 470 470 $129K
G2087 Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month 283 282 $73K
99205 Prolong outpt/office vis 594 589 $70K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 446 440 $41K
99215 Prolong outpt/office vis 288 272 $25K
H0001 Alcohol and/or drug assessment 64 64 $22K
99406 1,401 1,158 $17K
99492 68 68 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 43 43 $3K
99493 12 12 $711.18
99484 14 14 $339.14