Medicaid Provider Spending

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

ANDERSON, JAMES

NPI: 1689671802 · GOODLETTSVILLE, TN 37072 · Specialist · NPI assigned 07/01/2005

$2.21M
Total Medicaid Paid
55,391
Total Claims
40,481
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,495 $605K
2019 5,583 $262K
2020 5,648 $229K
2021 13,122 $236K
2022 10,627 $289K
2023 8,445 $326K
2024 7,471 $268K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,788 10,918 $456K
L8679 Implantable neurostimulator, pulse generator, any type 107 63 $436K
95886 8,528 3,289 $291K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,284 2,671 $205K
95913 1,734 1,364 $197K
95912 1,621 1,341 $156K
95816 1,352 1,164 $135K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,486 2,668 $89K
99215 Prolong outpt/office vis 1,144 850 $62K
95951 337 149 $59K
95713 248 214 $37K
76942 1,001 750 $23K
L0637 Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 100 82 $22K
95700 248 214 $14K
95910 158 137 $13K
95718 144 130 $8K
80305 1,382 1,039 $5K
95810 Polysomnography; sleep staging with 4 or more additional parameters 85 62 $4K
J1040 Injection, methylprednisolone acetate, 80 mg 167 118 $2K
J1030 Injection, methylprednisolone acetate, 40 mg 164 130 $628.96
L0120 Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) 43 38 $477.12
J1885 Injection, ketorolac tromethamine, per 15 mg 94 61 $127.06
3008F 3,614 2,979 $100.00
J1010 Injection, methylprednisolone acetate, 1 mg 51 39 $5.13
G9902 Patient screened for tobacco use and identified as a tobacco user 929 760 $0.00
1123F 1,915 1,547 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 654 537 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 242 196 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 1,959 1,553 $0.00
G8734 Elder maltreatment screen documented as negative, follow-up is not required 149 114 $0.00
1036F 31 24 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,982 2,376 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 2,244 1,800 $0.00
1124F 935 730 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 400 326 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 39 27 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 32 21 $0.00