Medicaid Provider Spending

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

PM KIDS

NPI: 1689134124 · WHITE PLAINS, MD 20695 · Pediatric Cardiology Physician · NPI assigned 03/21/2019

$1.50M
Total Medicaid Paid
29,349
Total Claims
24,712
Beneficiaries
53
Codes Billed
2021-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGAUVIN, WALI (CO-OWNER)
NPI Enumeration Date03/21/2019

Related Entities

Other providers sharing the same authorized official: GAUVIN, WALI

ProviderCityStateTotal Paid
PM KIDS PLUS WALDORF MD $62K
GLOBAL FITNESS INITIATIVE WOODBRIDGE VA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,419 $78K
2022 5,579 $299K
2023 10,496 $547K
2024 11,855 $578K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,674 5,371 $553K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,903 1,580 $228K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,215 1,037 $114K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,084 1,010 $113K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 437 404 $74K
93978 378 353 $52K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,046 329 $52K
90677 359 313 $39K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 339 320 $36K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 830 710 $27K
99215 Prolong outpt/office vis 163 143 $26K
99058 2,604 2,213 $22K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,444 1,298 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 101 92 $11K
90698 602 531 $11K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 60 59 $10K
96127 1,823 1,580 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 57 54 $9K
90670 453 409 $9K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 63 63 $7K
99383 64 58 $7K
93000 532 500 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 495 442 $6K
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) 525 475 $6K
92551 678 640 $6K
99051 936 722 $5K
90744 288 252 $5K
90633 270 242 $5K
90710 222 202 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 545 475 $4K
90688 170 151 $3K
99382 29 28 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 86 70 $3K
99381 27 25 $3K
93320 59 58 $2K
99384 13 13 $2K
87807 258 229 $2K
96161 654 581 $2K
99173 632 603 $2K
92523 16 12 $2K
90681 79 72 $1K
90687 83 68 $1K
93325 59 58 $1K
96160 277 250 $701.12
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 34 33 $636.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 37 32 $563.04
94760 425 359 $457.60
90696 17 16 $302.64
90734 13 12 $232.80
90460 Immunization administration through 18 years of age via any route, first or only component 102 87 $46.56
99000 27 24 $0.00
91300 29 25 $0.00
90461 33 29 $0.00