Medicaid Provider Spending

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

PENA LOPEZ, OMAR

NPI: 1619149762 · ELSA, TX 78543 · Pediatrics Physician · NPI assigned 03/28/2008

$2.37M
Total Medicaid Paid
124,768
Total Claims
108,858
Beneficiaries
74
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 76 $1K
2019 614 $11K
2020 12,948 $267K
2021 33,557 $626K
2022 37,790 $691K
2023 24,802 $469K
2024 14,981 $308K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,447 9,493 $382K
S8301 Infection control supplies, not otherwise specified 14,017 11,144 $359K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,734 6,058 $292K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4,723 4,291 $167K
S9470 Nutritional counseling, dietitian visit 4,672 4,536 $159K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,101 2,060 $143K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,719 1,675 $112K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,567 1,534 $109K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,770 4,360 $102K
90460 Immunization administration through 18 years of age via any route, first or only component 9,923 4,965 $90K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,443 5,875 $71K
99000 8,101 6,699 $66K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 938 919 $63K
99429 1,405 1,385 $40K
92552 3,498 3,454 $30K
99215 Prolong outpt/office vis 458 431 $28K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,306 1,206 $27K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,773 3,205 $27K
36410 1,393 1,279 $16K
87070 2,494 2,398 $13K
90461 2,152 1,752 $9K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 515 511 $9K
87807 1,063 973 $8K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,063 971 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 884 862 $5K
80061 Lipid panel 559 549 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 56 55 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 324 305 $3K
90651 486 481 $3K
96160 1,769 1,733 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 455 358 $3K
99050 217 210 $2K
36406 221 193 $2K
87086 Culture, bacterial; quantitative colony count, urine 430 417 $2K
90686 2,027 1,972 $2K
83525 284 278 $2K
81003 972 911 $2K
83036 Hemoglobin; glycosylated (A1C) 271 267 $1K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 4,666 4,561 $840.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 13 $786.46
82947 281 277 $745.80
99051 261 239 $507.96
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 14 13 $425.75
86738 51 51 $411.44
83540 108 105 $363.81
J0696 Injection, ceftriaxone sodium, per 250 mg 230 211 $271.41
90677 93 87 $253.93
82728 35 35 $251.90
90688 585 583 $50.40
97802 1,285 1,222 $30.31
90674 20 20 $26.50
J1100 Injection, dexamethasone sodium phosphate, 1 mg 81 79 $0.60
99188 240 232 $0.00
99173 3,630 3,575 $0.00
90633 253 248 $0.00
90685 298 297 $0.00
90670 699 692 $0.00
90681 91 90 $0.00
90715 107 107 $0.00
90734 399 393 $0.00
90672 41 41 $0.00
90707 26 26 $0.00
90700 58 58 $0.00
90710 37 37 $0.00
3008F 5,032 4,914 $0.00
90647 263 258 $0.00
90723 166 164 $0.00
36415 Collection of venous blood by venipuncture 308 299 $0.00
90620 61 61 $0.00
90716 26 26 $0.00
90697 37 37 $0.00
90696 15 15 $0.00
36416 15 14 $0.00
90698 13 13 $0.00