Medicaid Provider Spending

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

MAIN STREET FAMILY PRACTICE PC

NPI: 1598739526 · MELROSE, MA 02176 · Family Medicine Physician · NPI assigned 02/15/2006

$122K
Total Medicaid Paid
3,659
Total Claims
3,508
Beneficiaries
8
Codes Billed
2018-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialTIERNEY, TIMOTHY (PRES.)
NPI Enumeration Date02/15/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,173 $32K
2019 1,032 $38K
2020 796 $32K
2021 658 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,605 1,486 $77K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 587 573 $35K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 243 241 $5K
90686 208 206 $4K
80061 Lipid panel 144 144 $1K
82962 131 131 $260.61
36415 Collection of venous blood by venipuncture 728 715 $35.78
G0008 Administration of influenza virus vaccine 13 12 $0.00