Medicaid Provider Spending

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

SHEFLIN, CRAIG

NPI: 1588760235 · VALLEY STREAM, NY 11581 · Family Medicine Physician · NPI assigned 09/16/2006

$144K
Total Medicaid Paid
5,336
Total Claims
4,108
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 572 $14K
2019 868 $25K
2020 718 $21K
2021 1,291 $20K
2022 789 $24K
2023 740 $29K
2024 358 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
98928 1,899 1,422 $107K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,693 2,011 $27K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 242 218 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 101 101 $3K
0031A 24 22 $631.87
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 21 18 $580.07
0012A 16 16 $474.56
0011A 12 12 $358.94
3074F 16 14 $30.00
1126F 15 14 $5.00
1159F 23 20 $5.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 20 17 $0.00
1000F 23 20 $0.00
3008F 23 20 $0.00
H0001 Alcohol and/or drug assessment 23 20 $0.00
91301 35 31 $0.00
2010F 23 20 $0.00
91303 15 15 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 23 20 $0.00
3016F 23 20 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 20 17 $0.00
4004F 23 20 $0.00
3725F 23 20 $0.00