Medicaid Provider Spending

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

FAIRMOUNT FAMILY MEDICINE PLLC

NPI: 1659491421 · CAMILLUS, NY 13031 · Family Medicine Physician · NPI assigned 03/29/2007

$62K
Total Medicaid Paid
1,023
Total Claims
925
Beneficiaries
3
Codes Billed
2018-03
First Month
2024-02
Last Month

Provider Details

Authorized OfficialJACKSON, LELAND (OWNER)
NPI Enumeration Date03/29/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27 $2K
2019 139 $9K
2020 158 $8K
2021 209 $14K
2022 246 $16K
2023 211 $12K
2024 33 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 864 769 $53K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 108 105 $9K
90686 51 51 $434.89