Medicaid Provider Spending

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

MASINGALE FAMILY PRACTICE LLC

NPI: 1649538109 · ENGLEWOOD, TN 37329 · Family Nurse Practitioner · NPI assigned 05/02/2012

$3.03M
Total Medicaid Paid
118,373
Total Claims
95,107
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-01
Last Month

Provider Details

Authorized OfficialMASINGALE, MONICA (NP)
NPI Enumeration Date05/02/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,412 $416K
2019 22,643 $703K
2020 17,601 $425K
2021 17,187 $377K
2022 18,499 $580K
2023 23,176 $514K
2024 855 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 6,426 930 $498K
99483 Prolong outpt/office vis 3,308 3,071 $358K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,624 11,247 $307K
99493 4,861 4,401 $274K
96132 5,018 4,326 $156K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,355 761 $152K
95923 3,497 2,692 $149K
99354 2,843 2,530 $127K
99402 3,767 3,273 $115K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,878 2,497 $97K
93922 3,241 2,513 $86K
99494 2,636 2,409 $73K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 4,316 3,323 $56K
95943 2,264 1,560 $56K
94060 1,855 1,610 $49K
96160 3,935 3,359 $47K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 742 633 $45K
95921 1,275 1,195 $40K
99492 451 353 $28K
99425 1,353 1,034 $28K
90792 Psychiatric diagnostic evaluation with medical services 339 278 $25K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 431 356 $24K
96138 3,930 3,341 $24K
94010 1,412 1,225 $23K
99454 2,233 1,965 $22K
99457 2,289 2,011 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,215 1,072 $18K
99458 2,183 1,914 $15K
99497 828 725 $14K
99406 3,324 2,817 $14K
99358 Prolong nursin fac eval 15m 317 260 $12K
99490 Ccm add 20min 3,927 3,504 $10K
99424 1,367 1,043 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 929 800 $7K
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 1,654 1,415 $7K
99487 Ccm add 20min 1,603 1,461 $7K
96119 444 409 $6K
99215 Prolong outpt/office vis 97 87 $6K
96102 445 410 $4K
80305 446 371 $3K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 586 510 $3K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 137 127 $3K
96136 3,273 2,007 $3K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 281 231 $2K
99489 Ccm add 20min 519 449 $1K
1159F 1,757 1,549 $1K
3008F 2,895 2,539 $1K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 464 378 $886.27
95117 67 24 $885.89
G0444 Annual depression screening, 5 to 15 minutes 1,892 1,635 $849.87
92548 171 167 $833.39
G0442 Annual alcohol misuse screening, 5 to 15 minutes 1,581 1,361 $753.94
93000 73 55 $591.55
96130 419 361 $420.48
94760 2,651 2,319 $324.78
G0270 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), individual, face to face with the patient, each 15 minutes 813 706 $305.73
99453 95 72 $206.01
96127 1,018 881 $190.05
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 13 13 $186.03
97802 424 387 $144.15
99496 18 14 $105.00
94016 39 27 $63.60
99441 32 25 $0.00
99484 70 65 $0.00
G0247 Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails 27 24 $0.00