Medicaid Provider Spending

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

DRYDEN FAMILY MEDICINE, PLLC

NPI: 1689626053 · DRYDEN, NY 13053 · Family Medicine Physician · NPI assigned 05/16/2006

$693K
Total Medicaid Paid
11,581
Total Claims
10,779
Beneficiaries
16
Codes Billed
2018-01
First Month
2023-05
Last Month

Provider Details

Authorized OfficialSOPCHAK, MASON (PARTNER)
NPI Enumeration Date05/16/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,098 $147K
2019 2,979 $153K
2020 1,526 $130K
2021 1,293 $117K
2022 1,160 $104K
2023 525 $42K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,166 3,000 $353K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,166 3,849 $326K
90686 363 362 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 358 354 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 39 38 $2K
98928 12 12 $855.12
0064A 12 12 $462.10
80305 51 49 $402.17
G8754 Most recent diastolic blood pressure < 90 mmhg 15 13 $0.00
3017F 107 101 $0.00
1111F 64 54 $0.00
91306 12 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,163 1,960 $0.00
G8482 Influenza immunization administered or previously received 658 590 $0.00
G8484 Influenza immunization was not administered, reason not given 256 242 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 139 131 $0.00