Medicaid Provider Spending

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

KEITH D. JORGENSEN, MD, PA

NPI: 1679588339 · DERRY, NH 03038 · Otolaryngology Physician · NPI assigned 07/30/2006

$26K
Total Medicaid Paid
1,602
Total Claims
956
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialJORGENSEN, KEITH (PRESIDENT)
NPI Enumeration Date07/30/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 819 $13K
2019 451 $6K
2020 112 $2K
2022 35 $1K
2023 103 $3K
2024 82 $758.79

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 829 613 $18K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 76 62 $3K
95117 628 220 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 29 25 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $504.62
92557 14 12 $257.94
V5266 Battery for use in hearing device 14 12 $43.32