Medicaid Provider Spending

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

ROSEMOND, PHILOMENE

NPI: 1609125749 · BRONX, NY 10453 · Family Nurse Practitioner · NPI assigned 09/05/2012

$265K
Total Medicaid Paid
11,580
Total Claims
10,546
Beneficiaries
38
Codes Billed
2020-12
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 112 $1K
2021 4,006 $55K
2022 3,245 $68K
2023 1,998 $73K
2024 2,219 $68K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,231 2,859 $124K
99442 1,685 1,575 $71K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 880 839 $48K
99490 Ccm add 20min 458 456 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 43 42 $4K
99443 61 60 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 109 106 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 40 39 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 36 36 $2K
93000 69 69 $800.45
98960 60 60 $703.50
G8542 Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required 394 352 $385.09
G8420 Bmi is documented within normal parameters and no follow-up plan is required 385 355 $270.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 327 298 $185.00
99401 23 21 $184.40
1036F 93 82 $180.00
0011A 15 15 $161.96
3074F 166 155 $160.24
A4556 Electrodes, (e.g., apnea monitor), per pair 65 65 $156.26
3078F 191 177 $155.40
90756 15 14 $85.11
3079F 142 138 $66.14
3075F 50 49 $48.76
3077F 89 81 $41.89
3017F 13 12 $40.00
G8482 Influenza immunization administered or previously received 19 14 $35.00
3080F 16 13 $16.96
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,044 891 $11.00
1101F 13 12 $10.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 947 831 $5.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 126 116 $1.80
G9902 Patient screened for tobacco use and identified as a tobacco user 105 94 $1.00
G8783 Normal blood pressure reading documented, follow-up not required 521 476 $1.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 59 54 $0.00
91301 26 26 $0.00
36415 Collection of venous blood by venipuncture 14 14 $0.00
G8422 Bmi not documented, documentation the patient is not eligible for bmi calculation 35 35 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 15 15 $0.00