Medicaid Provider Spending

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

U.K.PATHAK M.D., PA

NPI: 1639504996 · WESLACO, TX 78596 · Pediatrics Physician · NPI assigned 09/05/2013

$10.32M
Total Medicaid Paid
491,341
Total Claims
401,546
Beneficiaries
80
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPATHAK, UMESH (PRESIDENT)
NPI Enumeration Date09/05/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 732 $19K
2019 1,182 $28K
2020 27,626 $583K
2021 106,530 $2.19M
2022 139,676 $2.93M
2023 116,125 $2.46M
2024 99,470 $2.11M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 85,754 73,438 $3.03M
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 44,786 40,211 $1.76M
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 70,836 32,258 $949K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7,008 6,826 $559K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 39,678 36,406 $534K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,452 6,193 $483K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5,501 5,256 $449K
S8301 Infection control supplies, not otherwise specified 53,737 46,340 $385K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,936 3,712 $289K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,476 5,228 $284K
90460 Immunization administration through 18 years of age via any route, first or only component 26,029 12,994 $273K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 5,918 5,420 $254K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 34,118 31,093 $218K
99429 5,090 4,918 $163K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,602 1,571 $93K
87807 7,429 6,852 $79K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 170 170 $65K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,796 5,117 $53K
92567 3,487 3,330 $43K
87428 754 719 $39K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 419 405 $34K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,267 1,199 $29K
90461 3,732 2,990 $25K
0002A 625 598 $24K
71046 Radiologic examination, chest; 2 views 843 830 $22K
99051 5,418 4,987 $22K
94010 908 875 $21K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,331 1,225 $19K
92587 952 925 $12K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 295 279 $12K
0071A 292 290 $12K
CP002 1,096 935 $11K
96161 5,858 5,716 $10K
0072A 234 233 $9K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 302 295 $9K
87486 170 170 $5K
87581 169 169 $5K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 483 466 $5K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 65 63 $5K
97169 195 189 $4K
99050 326 318 $4K
81005 1,952 1,826 $3K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 98 93 $3K
83655 266 261 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 149 149 $2K
70220 68 67 $2K
74018 71 64 $2K
0003A 34 34 $1K
99222 Initial hospital care, per day, moderate complexity 12 12 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 87 82 $1K
0081A 21 21 $840.00
86580 93 89 $737.14
90686 4,859 4,799 $556.62
97802 13,601 13,280 $330.07
92551 64 61 $326.76
74019 12 12 $316.56
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 33 25 $303.18
90671 1,289 1,220 $171.00
90619 726 706 $152.00
90651 954 939 $75.00
90656 763 747 $70.88
90620 693 675 $62.00
90734 258 254 $2.00
96160 3,779 3,592 $2.00
90715 264 261 $1.00
S9451 Exercise classes, non-physician provider, per session 13,602 13,277 $1.00
90680 1,179 1,140 $0.01
90648 584 568 $0.00
90710 866 823 $0.00
90670 1,511 1,490 $0.00
90633 914 873 $0.00
90700 41 41 $0.00
91300 752 719 $0.00
91308 29 28 $0.00
90697 1,062 1,016 $0.00
90723 214 213 $0.00
90696 234 231 $0.00
91307 585 566 $0.00
90698 72 71 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 13 12 $0.00