Medicaid Provider Spending

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

HEALTH ZONE PLLC

NPI: 1629007398 · SMITHFIELD, NC 27577 · Family Medicine Physician · NPI assigned 07/03/2006

$903K
Total Medicaid Paid
77,250
Total Claims
52,582
Beneficiaries
52
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialREYES, RODOLFO (OWNER/MANAGER)
NPI Enumeration Date07/03/2006

Related Entities

Other providers sharing the same authorized official: REYES, RODOLFO

ProviderCityStateTotal Paid
EDGEWATER MEDICAL CENTER AND URGENT LILLINGTON NC $1.86M
UNIVERSAL MEDICAL ASSOCIATES, PLLC RALEIGH NC $1.52M
MED MART MEDICAL ASSOCIATES PLLC HOLLY SPRINGS NC $1.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,760 $118K
2019 6,532 $147K
2020 9,774 $137K
2021 6,432 $118K
2022 16,880 $157K
2023 21,439 $141K
2024 10,433 $84K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,178 5,972 $455K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,324 3,150 $165K
99199 Unlisted special service, procedure or report 15,907 9,741 $95K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 936 755 $95K
99401 1,922 1,278 $17K
99215 Prolong outpt/office vis 235 184 $17K
99406 2,543 1,731 $14K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 110 66 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 558 222 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 375 216 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 92 74 $3K
80305 394 300 $3K
81002 1,888 1,342 $3K
93000 250 197 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 192 161 $2K
96160 934 669 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 286 165 $2K
82962 1,145 860 $1K
83036 Hemoglobin; glycosylated (A1C) 135 111 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 26 19 $1K
99051 54 45 $1K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 58 47 $985.32
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 14 $909.72
81025 199 118 $816.79
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 132 83 $794.30
99407 56 45 $670.32
96127 237 176 $617.24
94010 39 29 $562.76
90674 169 96 $523.41
90686 16 13 $153.53
99497 31 15 $95.80
83037 110 92 $12.02
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 4,249 3,049 $0.00
3078F 4,797 3,267 $0.00
3077F 857 655 $0.00
G8421 Bmi not documented and no reason is given 20 16 $0.00
3079F 1,870 1,376 $0.00
3080F 752 599 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 2,483 1,639 $0.00
1034F 1,640 1,030 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 1,152 840 $0.00
3074F 5,396 3,692 $0.00
3075F 1,057 770 $0.00
1036F 2,674 1,673 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 271 197 $0.00
3008F 7,635 5,169 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 677 499 $0.00
3044F 87 68 $0.00
G8422 Bmi not documented, documentation the patient is not eligible for bmi calculation 20 16 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 24 12 $0.00
G0008 Administration of influenza virus vaccine 13 13 $0.00
99000 31 16 $0.00