Medicaid Provider Spending

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

JONATHAN B. LEVYN, D.O. PC

NPI: 1639210602 · PHILADELPHIA, PA 19134 · Family Medicine Physician · NPI assigned 02/10/2007

$1.96M
Total Medicaid Paid
48,226
Total Claims
44,532
Beneficiaries
37
Codes Billed
2020-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEVYN, JONATHAN (PRESIDENT)
NPI Enumeration Date02/10/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,895 $65K
2021 4,654 $153K
2022 14,694 $528K
2023 13,070 $639K
2024 13,913 $578K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,693 18,950 $1.02M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,908 4,649 $335K
99496 1,002 936 $138K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,217 1,183 $105K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,002 963 $76K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 512 509 $62K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,686 2,455 $54K
99499 2,755 2,496 $39K
99407 1,839 1,758 $36K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 853 796 $29K
99490 Ccm add 20min 783 733 $25K
99349 769 735 $21K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 136 117 $10K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 105 95 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 36 36 $3K
90686 290 264 $2K
G0008 Administration of influenza virus vaccine 290 287 $1K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 20 12 $450.00
92250 25 25 $450.00
92551 36 36 $351.56
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 27 27 $180.00
99173 66 66 $35.70
3074F 2,086 1,917 $20.39
3078F 1,975 1,811 $10.39
3079F 366 328 $0.11
3075F 256 225 $0.06
3044F 57 48 $0.01
G8510 Screening for depression is documented as negative, a follow-up plan is not required 164 135 $0.00
1111F 366 319 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 49 44 $0.00
36415 Collection of venous blood by venipuncture 42 38 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 14 14 $0.00
4010F 16 13 $0.00
G9920 Screening performed and negative 2,331 2,126 $0.00
G0444 Annual depression screening, 5 to 15 minutes 322 265 $0.00
G9919 Screening performed and positive and provision of recommendations 116 106 $0.00
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 16 15 $0.00