Medicaid Provider Spending

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

THE WRIGHT CENTER MEDICAL GROUP

NPI: 1649836941 · SCRANTON, PA 18505 · Rheumatology Physician · NPI assigned 05/13/2019

$106.10M
Total Medicaid Paid
1,249,699
Total Claims
1,053,476
Beneficiaries
250
Codes Billed
2019-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialYASTREMSKI, SANDRA (SVP, CFO)
NPI Enumeration Date05/13/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 112,707 $6.54M
2020 281,126 $15.48M
2021 301,923 $20.43M
2022 162,582 $20.84M
2023 179,017 $21.14M
2024 212,344 $21.67M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 303,220 220,083 $100.11M
G9012 Other specified case management service not elsewhere classified 17,472 17,242 $4.72M
99232 Subsequent hospital care, per day, moderate complexity 10,913 3,327 $191K
99223 Prolong inpt eval add15 m 3,374 3,162 $164K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 100,953 87,578 $153K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 6,362 6,120 $87K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 39,447 36,008 $71K
0012A 2,121 2,102 $65K
99231 Subsequent hospital care, per day, straightforward or low complexity 7,200 1,908 $59K
99238 Hospital discharge day management, 30 minutes or less 4,209 3,896 $50K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4,902 4,707 $41K
0011A 2,389 2,365 $40K
99222 Initial hospital care, per day, moderate complexity 695 669 $35K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,591 2,518 $25K
80305 23,484 19,761 $24K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 3,475 3,361 $21K
0002A 510 507 $20K
0064A 1,240 953 $19K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,168 2,106 $17K
99441 775 711 $16K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,579 4,444 $14K
0001A 554 540 $14K
99385 1,976 1,925 $11K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,169 2,084 $8K
0071A 213 208 $8K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 20,565 17,273 $8K
0072A 186 180 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,941 2,829 $7K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,017 1,923 $7K
0134A 576 550 $6K
99442 670 629 $6K
90734 2,361 2,082 $5K
99386 888 871 $5K
94760 3,466 3,188 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13,061 12,217 $4K
82947 10,701 9,525 $4K
0003A 89 85 $2K
36415 Collection of venous blood by venipuncture 1,950 1,865 $2K
90670 2,895 2,489 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 13,472 11,097 $2K
0013A 96 96 $2K
91322 214 214 $2K
92552 9,953 9,147 $2K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 3,690 3,456 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,118 1,880 $2K
3046F 1,606 1,339 $2K
3044F 2,805 2,562 $2K
90461 7,295 5,856 $1K
81025 6,361 5,769 $1K
90716 418 396 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,294 1,261 $1K
90651 2,711 2,439 $1K
36416 8,875 8,145 $1K
99383 519 508 $983.65
90633 2,313 2,039 $973.28
2026F 1,114 1,038 $850.00
G0468 Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv 1,522 1,497 $838.19
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 7,338 6,648 $783.08
2022F 998 899 $758.77
90715 2,724 2,403 $745.84
90686 6,592 6,187 $745.27
99309 Subsequent nursing facility care, per day, low to moderate complexity 145 132 $733.12
90710 649 566 $715.70
96160 4,587 4,491 $714.49
99173 8,119 7,533 $713.82
90707 441 415 $710.67
99384 378 366 $694.94
G0444 Annual depression screening, 5 to 15 minutes 1,850 1,737 $694.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 773 763 $651.69
G8783 Normal blood pressure reading documented, follow-up not required 34,709 29,172 $642.79
99496 543 528 $636.19
83655 590 586 $636.19
0124A 99 98 $576.00
90723 1,085 988 $506.06
90680 1,324 1,124 $472.80
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,347 4,189 $432.76
90696 391 381 $397.58
G0466 Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 135 132 $366.56
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 466 443 $357.35
G2089 Most recent hemoglobin a1c (hba1c) level 7.0 to 9.0% 446 389 $347.46
99051 9,007 8,306 $341.18
90698 933 844 $314.04
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 3,053 2,914 $288.73
96127 11,827 11,366 $263.36
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7,435 7,071 $235.64
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,053 4,640 $199.97
3051F 183 175 $130.00
91320 147 147 $95.09
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 1,280 1,107 $83.98
3052F 518 452 $70.00
90648 1,845 1,618 $68.22
99220 205 198 $57.98
90480 446 431 $40.00
90674 138 117 $28.26
90744 701 628 $26.90
90756 116 108 $20.39
3078F 17,560 15,488 $20.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 1,566 1,479 $12.25
3074F 19,815 17,279 $10.00
3077F 4,208 3,894 $10.00
83036 Hemoglobin; glycosylated (A1C) 6,858 6,608 $8.25
81002 996 978 $6.53
86580 809 720 $0.00
93000 1,789 1,735 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 9,784 9,074 $0.00
D0272 Bitewings - two radiographic images 212 205 $0.00
99406 1,393 1,332 $0.00
3079F 8,620 8,017 $0.00
1006F 53 50 $0.00
91306 962 741 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 16,804 14,109 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 5,857 5,399 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 6,329 6,040 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 1,237 1,193 $0.00
96161 661 602 $0.00
85013 682 667 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 15,335 13,257 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 932 832 $0.00
G8430 Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) 3,396 3,117 $0.00
G8432 Depression screening not documented, reason not given 16,410 14,715 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 5,783 5,173 $0.00
D0120 Periodic oral evaluation - established patient 2,455 2,397 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 19,420 16,167 $0.00
D0230 Intraoral - periapical each additional radiographic image 213 188 $0.00
85018 1,271 1,245 $0.00
90660 15 15 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 17,462 14,951 $0.00
3080F 2,588 2,423 $0.00
D0150 Comprehensive oral evaluation - new or established patient 2,180 2,130 $0.00
90620 463 456 $0.00
D1206 Topical application of fluoride varnish 1,678 1,669 $0.00
1036F 17,338 14,847 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 245 212 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 2,578 2,321 $0.00
91301 3,911 3,158 $0.00
3075F 4,849 4,596 $0.00
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 302 284 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 3,496 3,170 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 1,091 991 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 29 29 $0.00
G0008 Administration of influenza virus vaccine 1,010 984 $0.00
90677 1,008 1,003 $0.00
D7140 Extraction, erupted tooth or exposed root 1,791 1,006 $0.00
G8756 No documentation of blood pressure measurement, reason not given 41 41 $0.00
G9908 Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 1,450 1,360 $0.00
D0601 162 162 $0.00
D2331 204 164 $0.00
G9907 Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months (e.g., limited life expectancy, other medical reason) 914 863 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 4,023 3,665 $0.00
D5899 352 308 $0.00
G8542 Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required 175 160 $0.00
3017F 10,109 8,375 $0.00
0240U 257 254 $0.00
D2330 369 267 $0.00
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 634 634 $0.00
D0603 147 145 $0.00
99495 144 142 $0.00
99217 40 39 $0.00
J7050 Infusion, normal saline solution, 250 cc 136 75 $0.00
D0140 Limited oral evaluation - problem focused 347 344 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 999 851 $0.00
90732 85 79 $0.00
D1330 237 237 $0.00
91307 349 305 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 54 54 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 10,288 9,255 $0.00
G9716 Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason 42 42 $0.00
3352F 1,749 1,727 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 160 136 $0.00
94761 26 25 $0.00
87807 24 23 $0.00
Q0222 Injection, bebtelovimab, 175 mg 175 100 $0.00
D2335 100 84 $0.00
99407 30 29 $0.00
90656 627 627 $0.00
3353F 13 13 $0.00
90688 34 31 $0.00
D0602 104 104 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 15 12 $0.00
99443 28 27 $0.00
99381 14 14 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 13 12 $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) 3,967 3,550 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 2,320 2,127 $0.00
G9920 Screening performed and negative 10,093 9,849 $0.00
D0330 Panoramic radiographic image 1,960 1,900 $0.00
D0190 240 240 $0.00
G9900 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified 3,245 2,754 $0.00
90472 Immunization administration, each additional vaccine (list separately) 913 894 $0.00
4004F 26,373 22,433 $0.00
99188 350 331 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 1,231 1,122 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 713 584 $0.00
D1110 Prophylaxis - adult 4,104 4,005 $0.00
G9919 Screening performed and positive and provision of recommendations 7,390 7,224 $0.00
D1120 Prophylaxis - child 967 960 $0.00
G8482 Influenza immunization administered or previously received 6,478 5,469 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 38,409 32,105 $0.00
G9904 Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy, other medical reason) 774 735 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 4,493 4,296 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 1,140 1,066 $0.00
G8785 Blood pressure reading not documented, reason not given 1,043 984 $0.00
G2104 Eye imaging validated to match diagnosis from seven standard field stereoscopic photos results documented and reviewed 688 574 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 14,336 12,337 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 3,555 3,269 $0.00
D9110 802 762 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 1,580 1,430 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 91 91 $0.00
90662 223 221 $0.00
3015F 406 395 $0.00
91300 1,338 966 $0.00
D0274 Bitewings - four radiographic images 2,935 2,882 $0.00
G9909 Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months if identified as a tobacco user (e.g., limited life expectancy, other medical reason) 917 867 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 146 141 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 4,384 4,056 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1,207 1,176 $0.00
91313 415 395 $0.00
90380 13 13 $0.00
90681 41 41 $0.00
G8484 Influenza immunization was not administered, reason not given 15,792 13,779 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 3,908 3,676 $0.00
G2102 Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed 1,008 885 $0.00
G9905 Patient not screened for tobacco use 5,250 4,904 $0.00
80061 Lipid panel 105 98 $0.00
G8543 Documentation of a positive functional outcome assessment using a standardized tool; care plan not documented within two days of assessment, reason not given 570 552 $0.00
90700 578 452 $0.00
G8540 Functional outcome assessment not documented as being performed, documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the time of the encounter 168 134 $0.00
90750 105 105 $0.00
G8421 Bmi not documented and no reason is given 3,244 3,059 $0.00
99490 Ccm add 20min 171 149 $0.00
D0220 Intraoral - periapical first radiographic image 1,633 1,570 $0.00
87631 16 14 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 21 13 $0.00
90746 15 13 $0.00
99215 Prolong outpt/office vis 327 321 $0.00
91312 69 49 $0.00
S9470 Nutritional counseling, dietitian visit 46 46 $0.00
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 68 14 $0.00
99382 59 57 $0.00
99177 104 104 $0.00
90713 109 91 $0.00
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 169 70 $0.00
D2332 125 103 $0.00
90682 61 58 $0.00
99491 Ccm add 20min 50 38 $0.00
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 74 28 $0.00
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 38 33 $0.00
Q0244 Injection, casirivimab and imdevimab, 1200 mg 12 12 $0.00
90621 14 14 $0.00
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 47 38 $0.00