Medicaid Provider Spending

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

MEDICAL ASSOCIATES OF ERIE

NPI: 1649205816 · ERIE, PA 16505 · Hospitalist Physician · NPI assigned 07/12/2006

$430K
Total Medicaid Paid
32,515
Total Claims
28,884
Beneficiaries
55
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMCGAHEN, TIMOTHY (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date07/12/2006

Related Entities

Other providers sharing the same authorized official: MCGAHEN, TIMOTHY

ProviderCityStateTotal Paid
CORRY MEMORIAL HOSPITAL ASSOCIATION CORRY PA $3.97M
CORRY MEMORIAL HOSPITAL ASSOCIATION CORRY PA $2.03M
CORRY MEMORIAL HOSPITAL ASSOCIATION UNION CITY PA $1.41M
CORRY MEMORIAL HOSPITAL ASSOCIATION CORRY PA $84K
CORRY MEMORIAL HOSPITAL ASSOCIATION CLYMER NY $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,664 $25K
2019 2,284 $27K
2020 3,815 $40K
2021 10,737 $91K
2022 7,706 $104K
2023 2,743 $75K
2024 2,566 $69K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,876 7,141 $211K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,342 1,295 $40K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,440 2,237 $32K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 667 343 $20K
92134 800 771 $18K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 362 346 $18K
V2020 Frames, purchases 587 458 $13K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 370 356 $13K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 168 165 $12K
99308 Subsequent nursing facility care, per day, straightforward 926 836 $12K
92133 212 208 $6K
V2784 Lens, polycarbonate or equal, any index, per lens 199 92 $5K
98928 124 91 $4K
11721 577 565 $4K
99307 497 197 $3K
90688 211 208 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 100 95 $2K
92551 283 279 $2K
92015 Determination of refractive state 431 418 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 323 55 $1K
98927 37 26 $961.88
90686 134 127 $952.05
98929 67 49 $822.86
99306 Prolong nursin fac eval 15m 16 14 $812.16
90460 Immunization administration through 18 years of age via any route, first or only component 198 154 $770.00
99252 15 13 $768.10
99173 213 208 $619.41
G0444 Annual depression screening, 5 to 15 minutes 465 450 $593.59
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 12 12 $461.76
36415 Collection of venous blood by venipuncture 397 382 $459.93
3074F 1,667 1,521 $450.00
3078F 776 715 $310.00
99051 12 12 $232.68
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 57 52 $210.00
3079F 155 151 $80.00
96127 28 28 $78.51
99497 108 107 $77.45
G8510 Screening for depression is documented as negative, a follow-up plan is not required 230 218 $0.00
1036F 321 274 $0.00
1111F 574 478 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 141 130 $0.00
1170F 174 150 $0.00
90674 13 13 $0.00
G0008 Administration of influenza virus vaccine 14 14 $0.00
1160F 3,065 2,766 $0.00
1159F 2,987 2,699 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,308 1,228 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 188 165 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 423 351 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 144 141 $0.00
99326 14 14 $0.00
90715 18 18 $0.00
99334 13 13 $0.00
90734 21 20 $0.00
G8482 Influenza immunization administered or previously received 15 15 $0.00