Medicaid Provider Spending

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

MICHAEL A FLORES M.D., P.A

NPI: 1609930809 · DONNA, TX 78537 · Internal Medicine Physician

$972K
Total Medicaid Paid
54,612
Total Claims
38,084
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,716 $283K
2019 14,198 $199K
2020 7,756 $63K
2021 5,839 $113K
2022 5,533 $178K
2023 3,102 $85K
2024 1,468 $51K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99444 7,539 1,924 $429K
99214 11,138 8,290 $258K
99213 4,424 3,637 $104K
90792 578 562 $60K
99421 2,595 659 $41K
87426 483 431 $17K
90833 205 173 $8K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 31 31 $8K
99202 260 254 $8K
95927 363 363 $7K
96372 754 677 $6K
95165 292 53 $5K
95943 363 363 $4K
99212 203 169 $4K
95004 41 40 $3K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 973 972 $2K
93922 361 361 $1K
0071A 26 26 $960.00
0001A 31 31 $858.00
99203 14 14 $723.96
0004A 17 17 $638.00
93000 120 117 $531.70
0002A 20 20 $514.00
99211 33 33 $433.07
99215 Prolong outpt/office vis 41 39 $418.38
0072A 14 14 $400.00
90686 52 52 $372.57
99091 813 767 $312.86
94640 44 40 $156.66
J0696 Injection, ceftriaxone sodium, per 250 mg 223 211 $149.55
81002 250 210 $137.74
S8301 Infection control supplies, not otherwise specified 26 24 $115.49
J1100 Injection, dexamethasone sodium phosphate, 1 mg 83 77 $34.25
82962 966 795 $25.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 31 30 $7.01
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 13 13 $0.21
91301 72 71 $0.02
95117 62 24 $0.00
3017F 303 268 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 4,680 3,367 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 767 706 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 92 91 $0.00
3044F 47 40 $0.00
1036F 888 810 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 246 217 $0.00
0509F 126 123 $0.00
91307 40 40 $0.00
1124F 629 578 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 3,480 2,631 $0.00
4040F 487 443 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 6,112 4,369 $0.00
G8482 Influenza immunization administered or previously received 597 526 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 1,142 955 $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) 372 361 $0.00
3045F 41 34 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 86 83 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 169 158 $0.00
Q0243 Injection, casirivimab and imdevimab, 2400 mg 31 31 $0.00
3046F 462 427 $0.00
91300 69 69 $0.00
G0246 Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education 26 26 $0.00
G8400 Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given 19 14 $0.00
G0444 Annual depression screening, 5 to 15 minutes 94 92 $0.00
G9900 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified 21 19 $0.00
4004F 32 22 $0.00