Medicaid Provider Spending

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

COLE, ANDREW

NPI: 1669465886 · NEW CASTLE, PA 16101 · Family Medicine Physician · NPI assigned 08/23/2005

$1.15M
Total Medicaid Paid
20,640
Total Claims
20,181
Beneficiaries
15
Codes Billed
2020-05
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,252 $109K
2021 5,555 $299K
2022 4,480 $236K
2023 4,066 $259K
2024 4,287 $246K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 5,917 5,722 $1.07M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,304 5,194 $35K
S9088 Services provided in an urgent care center (list in addition to code for service) 875 871 $28K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 144 142 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 82 81 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 371 362 $72.76
83036 Hemoglobin; glycosylated (A1C) 132 131 $15.40
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 642 622 $0.00
3079F 453 450 $0.00
3008F 3,693 3,613 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,988 1,961 $0.00
3075F 203 201 $0.00
3074F 530 526 $0.00
90686 12 12 $0.00
3078F 294 293 $0.00