Medicaid Provider Spending

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

EAST HUDSON PRIMARY CARE, PC

NPI: 1689633661 · WEST NEW YORK, NJ 07093 · Internal Medicine Physician · NPI assigned 03/20/2006

$9K
Total Medicaid Paid
934
Total Claims
793
Beneficiaries
3
Codes Billed
2018-01
First Month
2019-09
Last Month

Provider Details

Authorized OfficialDIAZ, AGUSTIN (PRESIDENT)
NPI Enumeration Date03/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 490 $5K
2019 444 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 716 621 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $79.32
96127 206 160 $70.08