Medicaid Provider Spending

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

SOUTH DAYTON ACUTE CARE CONSULTANTS, INC

NPI: 1669442950 · DAYTON, OH 45429 · Infectious Disease Physician · NPI assigned 01/26/2006

$2.94M
Total Medicaid Paid
107,755
Total Claims
61,188
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKRONAUGE, REBECCA (PRACTICE ADMINISTRATOR)
NPI Enumeration Date01/26/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24,999 $521K
2019 21,069 $494K
2020 14,187 $440K
2021 16,226 $517K
2022 12,604 $381K
2023 11,258 $314K
2024 7,412 $271K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 45,219 17,073 $1.03M
99233 Prolong inpt eval add15 m 23,285 10,997 $752K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 5,016 2,409 $294K
99239 Hospital discharge day management, more than 30 minutes 8,685 8,128 $287K
99223 Prolong inpt eval add15 m 4,120 3,850 $238K
99255 1,193 1,154 $111K
99220 1,489 1,420 $87K
99254 915 890 $64K
99244 Office or other outpatient consultation, moderate to high complexity 447 431 $25K
99217 866 824 $22K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 298 258 $15K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 385 345 $13K
99225 106 63 $2K
99219 13 13 $630.23
99222 Initial hospital care, per day, moderate complexity 16 15 $279.51
G8420 Bmi is documented within normal parameters and no follow-up plan is required 426 399 $36.86
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 13,948 11,733 $33.46
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 477 432 $0.00
G8421 Bmi not documented and no reason is given 235 197 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 108 94 $0.00
1124F 15 12 $0.00
1123F 422 383 $0.00
G9662 Previously diagnosed or have a diagnosis of clinical ascvd, including ascvd procedure 44 43 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 27 25 $0.00