Medicaid Provider Spending

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

JORGE DABDOUB MD INTERNAL MEDICINE LLC

NPI: 1609985654 · NORWICH, CT 06360 · Primary Care Clinic/Center · NPI assigned 08/30/2006

$114K
Total Medicaid Paid
6,725
Total Claims
5,201
Beneficiaries
8
Codes Billed
2018-01
First Month
2022-06
Last Month

Provider Details

Authorized OfficialDABDOUB, JORGE (OWNER)
NPI Enumeration Date08/30/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,456 $29K
2019 1,646 $29K
2020 1,328 $26K
2021 1,624 $20K
2022 671 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,236 3,832 $111K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 33 26 $2K
90674 147 142 $584.14
90756 149 147 $380.55
99232 Subsequent hospital care, per day, moderate complexity 96 24 $353.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 801 771 $224.97
99238 Hospital discharge day management, 30 minutes or less 13 13 $122.49
G0008 Administration of influenza virus vaccine 250 246 $0.00