Medicaid Provider Spending

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

MVHE INC

NPI: 1659504785 · MORAINE, OH 45439 · Internal Medicine Physician · NPI assigned 08/24/2009

$5.54M
Total Medicaid Paid
144,304
Total Claims
127,644
Beneficiaries
61
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDARLENE, MICHEL (SYSTEMS SUPPORT ANALYST)
NPI Enumeration Date08/24/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 32,991 $965K
2019 25,867 $845K
2020 17,784 $695K
2021 17,279 $760K
2022 16,858 $790K
2023 19,728 $840K
2024 13,797 $645K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 58,942 52,313 $3.04M
99213 58,455 51,844 $2.19M
99309 3,792 3,310 $96K
99349 908 786 $38K
99215 Prolong outpt/office vis 416 336 $29K
90471 1,313 1,237 $22K
99204 274 262 $21K
90460 689 470 $14K
90686 1,293 1,214 $12K
99203 252 237 $11K
83036 1,917 1,746 $9K
99307 679 576 $8K
99350 Prolong home eval add 15m 120 112 $6K
96372 620 568 $6K
99396 87 83 $6K
99212 184 169 $5K
99343 82 79 $4K
99308 298 244 $4K
36415 1,602 1,426 $3K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 486 435 $2K
99395 28 26 $2K
99205 Prolong outpt/office vis 29 29 $1K
99306 Prolong nursin fac eval 15m 33 29 $1K
95251 92 83 $1K
99202 28 27 $1K
99392 14 13 $846.70
90715 24 24 $760.92
99442 31 28 $621.39
99305 18 16 $452.80
99406 41 41 $399.87
81002 200 181 $398.81
90472 29 29 $387.65
90656 26 25 $262.62
80305 76 65 $238.91
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 25 24 $154.60
81003 65 61 $103.63
36416 27 26 $87.05
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) 138 117 $22.21
G0008 Administration of influenza virus vaccine 26 24 $19.30
J1885 Injection, ketorolac tromethamine, per 15 mg 16 12 $18.84
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,053 2,604 $0.00
93010 16 15 $0.00
G8484 Influenza immunization was not administered, reason not given 577 485 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 404 351 $0.00
90734 15 15 $0.00
4004F 113 93 $0.00
G8482 Influenza immunization administered or previously received 80 73 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 321 280 $0.00
4040F 157 126 $0.00
90633 19 18 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 14 12 $0.00
1036F 1,423 1,203 $0.00
3017F 1,255 1,071 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 1,117 931 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 425 386 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 787 673 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 1,045 888 $0.00
90651 12 12 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 62 52 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 21 17 $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) 13 12 $0.00