Medicaid Provider Spending

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

SANFORD, BENJAMIN

NPI: 1629042304 · STARKVILLE, MS 39759 · Internal Medicine Physician · NPI assigned 02/17/2006

OIG Excluded Provider · This provider appears on the HHS Office of Inspector General List of Excluded Individuals/Entities. Exclusion date: 08/18/2022.
$55K
Total Medicaid Paid
6,469
Total Claims
6,041
Beneficiaries
20
Codes Billed
2018-01
First Month
2020-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,447 $28K
2019 2,636 $23K
2020 386 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,382 1,233 $24K
36415 Collection of venous blood by venipuncture 1,257 1,138 $5K
94681 355 341 $4K
94375 353 340 $4K
94200 354 341 $3K
94726 235 223 $3K
80053 Comprehensive metabolic panel 496 478 $3K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 629 604 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 426 395 $2K
80061 Lipid panel 180 177 $2K
G8753 Most recent systolic blood pressure >= 140 mmhg 204 197 $1K
83036 Hemoglobin; glycosylated (A1C) 166 160 $1K
80048 Basic metabolic panel (calcium, ionized) 187 174 $861.28
94150 65 64 $373.71
80069 39 37 $345.58
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 67 66 $332.90
90686 16 16 $99.91
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 16 16 $58.97
G0008 Administration of influenza virus vaccine 28 27 $43.78
G8752 Most recent systolic blood pressure < 140 mmhg 14 14 $24.11