Medicaid Provider Spending

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

1649255100

NPI: 1649255100

Deactivated NPI · This NPI was deactivated on 05/28/2020.
$232K
Total Medicaid Paid
20,726
Total Claims
18,387
Beneficiaries
27
Codes Billed
2018-01
First Month
2020-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,761 $117K
2019 8,191 $85K
2020 2,774 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,532 2,800 $53K
92587 2,357 2,032 $50K
99407 1,541 1,363 $30K
92586 1,227 1,141 $18K
G0271 Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes 1,237 1,099 $11K
87070 1,511 1,404 $10K
90460 Immunization administration through 18 years of age via any route, first or only component 591 556 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,162 1,022 $9K
99401 1,596 1,433 $8K
H0005 Alcohol and/or drug services; group counseling by a clinician 921 768 $7K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 263 257 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 249 233 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 211 193 $3K
86580 338 331 $2K
99402 654 612 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 164 153 $2K
S9449 Weight management classes, non-physician provider, per session 588 558 $2K
69210 230 213 $1K
90658 391 385 $1K
99403 204 199 $518.27
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 43 38 $478.04
99173 981 906 $452.16
95004 Percutaneous tests with allergenic extracts, immediate type reaction 173 161 $154.65
90734 12 12 $128.60
36415 Collection of venous blood by venipuncture 452 422 $118.35
90686 82 80 $117.73
69209 16 16 $13.08