Medicaid Provider Spending

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

CORONA MEDICAL SERVICES, PC

NPI: 1598142499 · CORONA, NY 11368 · Family Medicine Physician · NPI assigned 04/29/2015

$121K
Total Medicaid Paid
88,168
Total Claims
80,403
Beneficiaries
63
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHEFLIN, CRAIG (MEDICAL DIRECTOR)
NPI Enumeration Date04/29/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,567 $23K
2019 14,411 $37K
2020 7,598 $17K
2021 16,310 $17K
2022 13,115 $4K
2023 22,177 $17K
2024 11,990 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,742 5,140 $67K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 2,285 2,045 $17K
H0001 Alcohol and/or drug assessment 7,152 6,411 $10K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 6,299 5,681 $7K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 817 809 $6K
93272 872 870 $4K
93000 952 949 $1K
99401 849 775 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 332 309 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 171 170 $1K
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 6,459 5,786 $1K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 40 12 $880.00
3074F 2,531 2,308 $708.50
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 758 689 $672.42
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 655 642 $666.65
3078F 2,257 2,055 $589.00
G8754 Most recent diastolic blood pressure < 90 mmhg 778 711 $300.00
G8752 Most recent systolic blood pressure < 140 mmhg 778 711 $300.00
3079F 609 581 $287.50
36415 Collection of venous blood by venipuncture 1,686 1,650 $199.46
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 27 24 $93.60
1159F 3,831 3,420 $85.01
3080F 95 92 $72.50
A4930 Gloves, sterile, per pair 1,354 1,315 $60.14
3075F 89 84 $57.50
1126F 2,770 2,520 $54.01
99051 51 50 $50.40
1125F 684 655 $50.00
G9820 Documentation of a chlamydia screening test with proper follow-up 414 409 $50.00
1160F 1,912 1,721 $35.01
3077F 199 190 $32.50
A4556 Electrodes, (e.g., apnea monitor), per pair 838 836 $18.45
3008F 3,686 3,293 $0.01
99000 1,278 1,248 $0.00
1000F 3,707 3,317 $0.00
3011F 61 61 $0.00
3044F 404 373 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 3,431 3,108 $0.00
2010F 3,894 3,469 $0.00
3048F 186 173 $0.00
1036F 1,848 1,702 $0.00
94760 82 81 $0.00
97802 71 70 $0.00
3014F 103 100 $0.00
3017F 214 210 $0.00
3061F 46 45 $0.00
4293F 28 28 $0.00
2000F 242 214 $0.00
2001F 242 214 $0.00
H0002 Behavioral health screening to determine eligibility for admission to treatment program 81 80 $0.00
3049F 84 80 $0.00
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening 18 18 $0.00
G0102 Prostate cancer screening; digital rectal examination 12 12 $0.00
3016F 2,747 2,508 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 2,037 1,823 $0.00
G9383 Patient received screening for hcv infection within the 12 month reporting period 59 59 $0.00
A6413 Adhesive bandage, first-aid type, any size, each 1,297 1,267 $0.00
3015F 269 269 $0.00
3725F 4,004 3,591 $0.00
4004F 2,389 2,145 $0.00
0521F 1,322 1,185 $0.00
2028F 28 28 $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) 12 12 $0.00