Medicaid Provider Spending

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

MANANA PETROV PRIMARY MEDICAL CARE, PC

NPI: 1609948140 · BROOKLYN, NY 11226 · Internal Medicine Physician · NPI assigned 11/13/2006

$12K
Total Medicaid Paid
1,134
Total Claims
1,076
Beneficiaries
9
Codes Billed
2018-01
First Month
2021-10
Last Month

Provider Details

Authorized OfficialPETROV, MANANA (PRESIDENT)
NPI Enumeration Date11/13/2006

Related Entities

Other providers sharing the same authorized official: PETROV, MANANA

ProviderCityStateTotal Paid
MANANA PETROV PRIMARY MEDICAL CARE, PC BROOKLYN NY $1.07M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 225 $5K
2019 199 $2K
2020 236 $871.52
2021 474 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 118 114 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 45 39 $2K
36415 Collection of venous blood by venipuncture 357 342 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 27 27 $528.28
90674 12 12 $348.56
90686 14 14 $247.39
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 57 57 $0.00
3008F 446 417 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 58 54 $0.00