Medicaid Provider Spending

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

CENTRAL GEORGIA PULMONARY ASSOCIATES, LLC

NPI: 1669521902 · MACON, GA 31201 · Sleep Disorder Diagnostic Clinic/Center · NPI assigned 01/09/2007

$54K
Total Medicaid Paid
1,988
Total Claims
1,690
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSPENCE, CLAY (ADMINISTRATOR)
NPI Enumeration Date01/09/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 341 $4K
2019 140 $2K
2020 237 $4K
2021 269 $6K
2022 173 $5K
2023 338 $13K
2024 490 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,017 928 $24K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 383 347 $19K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 60 53 $3K
94729 159 151 $3K
99232 Subsequent hospital care, per day, moderate complexity 169 51 $3K
94727 27 25 $541.34
99231 Subsequent hospital care, per day, straightforward or low complexity 39 12 $508.86
71046 Radiologic examination, chest; 2 views 55 46 $426.63
94060 12 12 $342.40
94726 13 13 $294.56
99072 15 14 $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) 39 38 $0.00