Medicaid Provider Spending

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

FUSTER, CARLOS

NPI: 1639128234 · MIAMI, FL 33175 · Pediatrics Physician · NPI assigned 05/09/2006

$2.05M
Total Medicaid Paid
54,877
Total Claims
48,067
Beneficiaries
31
Codes Billed
2018-12
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,039 $19K
2019 8,016 $266K
2020 8,260 $280K
2021 9,651 $360K
2022 8,905 $369K
2023 10,018 $437K
2024 8,988 $322K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,404 5,335 $485K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13,030 11,927 $411K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,995 3,899 $341K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,067 3,588 $290K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,435 2,407 $199K
90671 796 787 $70K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,326 1,288 $62K
99381 528 518 $42K
90460 Immunization administration through 18 years of age via any route, first or only component 12,512 8,584 $40K
90697 556 549 $39K
90670 1,256 1,201 $35K
90619 249 249 $14K
90680 1,270 1,225 $10K
90696 39 39 $3K
90461 917 247 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 40 35 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 240 235 $2K
99383 12 12 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 288 221 $653.40
90651 107 106 $605.37
90686 58 57 $405.56
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 54 53 $357.30
90633 562 552 $353.32
A4208 Syringe with needle, sterile 3 cc, each 3,392 3,274 $175.39
90723 478 463 $150.03
90734 141 137 $108.60
90698 288 274 $58.97
90716 66 66 $24.01
90715 49 49 $10.29
90710 246 241 $10.00
90648 476 449 $0.00