Medicaid Provider Spending

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

ZHOU, ERIC

NPI: 1689674855 · NEW YORK, NY 10002 · Nephrology Physician · NPI assigned 07/28/2005

$775K
Total Medicaid Paid
41,805
Total Claims
35,684
Beneficiaries
53
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,587 $79K
2019 2,489 $72K
2020 1,544 $65K
2021 3,541 $124K
2022 6,021 $104K
2023 13,179 $156K
2024 12,444 $174K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,936 10,813 $530K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,564 2,510 $135K
99442 1,326 1,261 $45K
99497 888 883 $27K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,021 999 $11K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 36 36 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 237 232 $4K
90756 129 129 $3K
90674 709 707 $3K
99397 294 291 $2K
0013A 111 110 $2K
99441 61 61 $2K
36415 Collection of venous blood by venipuncture 1,174 1,154 $1K
93000 103 103 $1K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 27 27 $795.59
99491 Ccm add 20min 112 111 $644.93
H0001 Alcohol and/or drug assessment 90 88 $577.23
90661 306 304 $257.95
99490 Ccm add 20min 15 15 $192.50
G0008 Administration of influenza virus vaccine 682 680 $95.22
3078F 1,610 1,469 $10.00
3074F 1,080 1,004 $2.50
91306 19 19 $0.15
90677 90 90 $0.08
3061F 1,073 910 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,619 1,473 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 479 437 $0.00
3079F 207 198 $0.00
3075F 458 436 $0.00
3060F 1,061 888 $0.00
3048F 598 564 $0.00
3008F 2,228 2,040 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 233 229 $0.00
1036F 134 133 $0.00
3044F 1,161 972 $0.00
1000F 110 109 $0.00
99429 682 595 $0.00
G0009 Administration of pneumococcal vaccine 70 70 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 153 153 $0.00
3052F 30 26 $0.00
90480 48 48 $0.00
1160F 582 444 $0.00
G9507 Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs) 706 659 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 223 220 $0.00
1159F 584 445 $0.00
3051F 782 671 $0.00
3725F 177 175 $0.00
91304 48 48 $0.00
G8506 Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 562 470 $0.00
3016F 123 121 $0.00
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) 12 12 $0.00
91313 26 26 $0.00
90750 16 16 $0.00