Medicaid Provider Spending

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

ELITE PREMIER MEDICAL CARE LLC

NPI: 1609144005 · PATERSON, NJ 07522 · Family Medicine Physician · NPI assigned 12/13/2011

$1.28M
Total Medicaid Paid
107,029
Total Claims
97,164
Beneficiaries
82
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialREVOREDO, MIRYAM (GENERAL MANEGAR)
NPI Enumeration Date12/13/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,007 $275K
2019 14,661 $209K
2020 11,207 $160K
2021 12,635 $161K
2022 17,740 $203K
2023 19,454 $165K
2024 21,325 $103K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31,225 27,631 $988K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,769 1,754 $79K
99401 3,033 2,944 $48K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 580 577 $27K
90686 1,734 1,720 $23K
G0008 Administration of influenza virus vaccine 2,343 2,324 $18K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 551 514 $15K
99397 487 483 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,346 1,940 $11K
99232 Subsequent hospital care, per day, moderate complexity 394 94 $9K
99497 202 188 $5K
99442 391 380 $5K
90656 389 375 $4K
20610 242 187 $4K
90674 205 205 $3K
99222 Initial hospital care, per day, moderate complexity 63 58 $3K
G0444 Annual depression screening, 5 to 15 minutes 383 368 $2K
99238 Hospital discharge day management, 30 minutes or less 80 70 $2K
J1030 Injection, methylprednisolone acetate, 40 mg 829 757 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 125 117 $1K
1125F 5,169 4,775 $1K
3074F 4,000 3,647 $963.00
90756 77 77 $955.02
99490 Ccm add 20min 112 98 $885.51
1159F 16,329 14,457 $864.00
99406 152 152 $794.92
94060 23 23 $782.86
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 7,491 6,943 $776.00
99496 14 13 $773.69
3078F 3,021 2,753 $691.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 832 762 $543.42
90732 51 51 $501.90
3079F 1,629 1,527 $377.00
1170F 1,816 1,742 $366.00
1160F 4,727 4,106 $365.00
93000 25 25 $276.04
3044F 641 607 $230.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 136 110 $193.10
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12 12 $158.51
90685 14 14 $149.28
4010F 604 575 $79.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 42 42 $75.61
3075F 492 471 $61.00
G0009 Administration of pneumococcal vaccine 49 49 $46.14
3008F 3,287 3,087 $33.00
1126F 251 238 $32.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 322 284 $26.83
3077F 266 247 $5.00
J1010 Injection, methylprednisolone acetate, 1 mg 41 35 $2.00
2022F 31 31 $1.00
1101F 112 111 $0.00
4037F 742 735 $0.00
2000F 878 726 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 89 87 $0.00
1123F 38 37 $0.00
1000F 182 181 $0.00
1030F 52 52 $0.00
1220F 422 418 $0.00
2001F 862 721 $0.00
3080F 179 165 $0.00
3014F 77 74 $0.00
1157F 212 192 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 329 326 $0.00
3351F 292 292 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 49 49 $0.00
1036F 70 69 $0.00
1005F 73 72 $0.00
2015F 67 67 $0.00
H0049 Alcohol and/or drug screening 34 34 $0.00
3017F 87 83 $0.00
3061F 60 59 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,226 1,209 $0.00
G8482 Influenza immunization administered or previously received 103 98 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 153 153 $0.00
3288F 1,055 983 $0.00
1158F 212 192 $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) 38 38 $0.00
3015F 48 47 $0.00
3725F 144 140 $0.00
4004F 16 16 $0.00
4019F 21 21 $0.00
4013F 80 78 $0.00