Medicaid Provider Spending

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

EFFINGER HEALTH, PA

NPI: 1629515325 · TALLAHASSEE, FL 32308 · Family Medicine Physician · NPI assigned 01/19/2017

$137K
Total Medicaid Paid
38,148
Total Claims
19,588
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialEFFINGER, WILLIAM (DIRECTOR/PHYSICIAN)
NPI Enumeration Date01/19/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,127 $2K
2019 5,306 $13K
2020 7,417 $22K
2021 6,647 $27K
2022 6,500 $18K
2023 8,181 $42K
2024 2,970 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99307 14,466 6,780 $46K
99308 Subsequent nursing facility care, per day, straightforward 5,691 2,968 $24K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,534 1,298 $16K
99233 Prolong inpt eval add15 m 1,762 234 $13K
99487 Ccm add 20min 6,031 4,488 $12K
99223 Prolong inpt eval add15 m 686 333 $11K
99232 Subsequent hospital care, per day, moderate complexity 1,729 162 $7K
99306 Prolong nursin fac eval 15m 223 171 $3K
99305 272 204 $2K
99239 Hospital discharge day management, more than 30 minutes 169 89 $2K
99310 Prolong nursin fac eval 15m 330 164 $1K
99318 41 34 $308.89
99497 2,663 1,511 $77.25
99490 Ccm add 20min 214 155 $28.69
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34 34 $26.52
99489 Ccm add 20min 1,006 732 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 165 113 $0.00
99327 28 26 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 80 77 $0.00
99498 24 15 $0.00