Medicaid Provider Spending

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

MONGIARDO, FRANK

NPI: 1619048139 · HAZARD, KY 41701 · Otolaryngology/Facial Plastic Surgery Physician · NPI assigned 11/13/2006

$5.55M
Total Medicaid Paid
48,726
Total Claims
43,042
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,119 $1.14M
2019 6,082 $880K
2020 6,768 $952K
2021 8,481 $491K
2022 6,137 $650K
2023 7,354 $790K
2024 6,785 $648K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
41530 1,167 731 $2.21M
30468 806 640 $1.26M
31231 7,682 7,118 $429K
99244 Office or other outpatient consultation, moderate to high complexity 3,126 2,980 $366K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,429 4,063 $333K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,510 5,789 $256K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,741 5,211 $201K
92588 3,075 2,829 $141K
31237 714 649 $104K
92557 2,701 2,469 $70K
30469 28 26 $42K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 259 217 $41K
92567 3,100 2,853 $36K
30140 257 198 $33K
30802 706 582 $21K
31575 304 267 $10K
30117 56 26 $3K
94060 48 45 $2K
95028 36 25 $1K
69210 83 77 $922.74
30801 28 26 $503.23
95004 Percutaneous tests with allergenic extracts, immediate type reaction 16 12 $169.20
1101F 580 500 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 1,222 961 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 286 227 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 214 171 $0.00
G8732 No documentation of pain assessment, reason not given 855 759 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 463 345 $0.00
1036F 14 13 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 1,569 1,250 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 439 302 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,895 1,480 $0.00
1100F 132 81 $0.00
3288F 134 82 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 38 25 $0.00
4004F 13 13 $0.00