Medicaid Provider Spending

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

PROACTIVE FOOT AND ANKLE

NPI: 1639699325 · PARK RIDGE, NJ 07656 · Foot & Ankle Surgery Podiatrist · NPI assigned 06/22/2017

$63K
Total Medicaid Paid
3,003
Total Claims
2,489
Beneficiaries
12
Codes Billed
2020-05
First Month
2023-09
Last Month

Provider Details

Authorized OfficialGEWIRTZ, JEFFREY (MANAGING MEMBER)
NPI Enumeration Date06/22/2017

Related Entities

Other providers sharing the same authorized official: GEWIRTZ, JEFFREY

ProviderCityStateTotal Paid
BOLTROPE PODIATRY NY PLLC NANUET NY $731K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 658 $13K
2021 1,273 $27K
2022 678 $15K
2023 394 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,175 1,744 $53K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 61 57 $4K
L3000 Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each 28 14 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 87 83 $1K
11721 352 333 $570.66
73630 41 25 $567.36
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 17 14 $188.26
99304 36 29 $141.08
99324 19 18 $116.60
11720 52 51 $71.78
G0127 Trimming of dystrophic nails, any number 36 36 $39.00
99072 99 85 $0.00