Medicaid Provider Spending

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

MARCUS AUTISM CENTER, INC.

NPI: 1598928111 · BROOKHAVEN, GA 30329 · Developmental Disabilities Clinic/Center · NPI assigned 07/03/2008

$3.39M
Total Medicaid Paid
45,434
Total Claims
42,282
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFOWLER, RUTH (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date07/03/2008

Related Entities

Other providers sharing the same authorized official: FOWLER, RUTH

ProviderCityStateTotal Paid
SCOTTISH RITE CHILDREN'S MEDICAL CENTER ATLANTA GA $493.38M
URGENT CARE AT CHILDREN'S, INC. BROOKHAVEN GA $48.86M
CHILDREN'S SEDATION SERVICES, LLC BROOKHAVEN GA $1.09M
CHILDREN'S ANESTHESIA SERVICES, LLC BROOKHAVEN GA $928K
CHILDREN'S BMH PROVIDERS, LLC BROOKHAVEN GA $193K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,219 $331K
2019 7,004 $410K
2020 5,483 $353K
2021 6,538 $440K
2022 6,532 $491K
2023 7,499 $679K
2024 7,159 $684K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21,834 21,261 $1.51M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,848 7,698 $359K
99215 Prolong outpt/office vis 3,226 3,142 $342K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,601 1,580 $201K
96131 659 641 $137K
99205 Prolong outpt/office vis 1,017 999 $127K
90837 Psychotherapy, 53 minutes with patient 1,121 552 $127K
90832 Psychotherapy, 30 minutes with patient 1,661 1,029 $67K
96130 656 642 $67K
96101 164 155 $65K
96137 447 437 $64K
90791 Psychiatric diagnostic evaluation 370 369 $42K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 674 297 $40K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 248 247 $40K
97151 206 140 $35K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 245 245 $25K
96136 490 478 $22K
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 144 12 $22K
97803 596 479 $13K
92526 546 371 $12K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 61 61 $10K
90792 Psychiatric diagnostic evaluation with medical services 91 90 $8K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 280 279 $8K
97530 Therapeutic activities, direct patient contact, each 15 minutes 151 93 $8K
96112 68 65 $7K
92610 139 93 $6K
97802 92 83 $5K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 118 115 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 136 130 $4K
90834 Psychotherapy, 45 minutes with patient 33 25 $4K
71046 Radiologic examination, chest; 2 views 166 165 $3K
96102 63 63 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 61 44 $1K
97167 14 12 $562.74
97156 25 13 $558.29
90785 79 77 $230.42
99417 Prolong home eval add 15m 14 12 $69.29
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 32 31 $11.49
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 12 12 $11.40
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 32 31 $8.06
J8540 Dexamethasone, oral, 0.25 mg 14 14 $0.00