Medicaid Provider Spending

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

ADVANCED MEDICAL CARE PLLC

NPI: 1689745424 · FOREST HILLS, NY 11375 · Internal Medicine Physician · NPI assigned 11/13/2006

$5.15M
Total Medicaid Paid
94,415
Total Claims
76,858
Beneficiaries
60
Codes Billed
2019-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGIBSON, MELISSA (MANAGER)
NPI Enumeration Date11/13/2006

Related Entities

Other providers sharing the same authorized official: GIBSON, MELISSA

ProviderCityStateTotal Paid
SHENANDOAH SMILES PC WINCHESTER VA $2.35M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 11,632 $618K
2020 15,504 $880K
2021 19,797 $1.18M
2022 14,843 $875K
2023 19,451 $954K
2024 13,188 $638K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,760 9,412 $886K
97530 Therapeutic activities, direct patient contact, each 15 minutes 9,759 3,034 $598K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,269 3,263 $470K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,929 5,780 $406K
95911 2,003 1,993 $295K
95819 1,046 1,041 $288K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,815 1,812 $262K
95886 2,095 2,085 $256K
99490 Ccm add 20min 6,983 6,946 $216K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,895 5,699 $197K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 727 727 $179K
93880 1,236 1,233 $139K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 689 689 $114K
99439 2,736 2,720 $91K
92540 1,102 1,100 $82K
92546 1,101 1,099 $82K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 3,606 1,219 $80K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,774 1,293 $74K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3,794 1,305 $67K
93015 901 901 $42K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 401 401 $40K
93000 3,401 3,320 $36K
97161 808 803 $32K
92537 1,098 1,096 $29K
64615 203 203 $25K
99487 Ccm add 20min 230 229 $19K
97014 1,334 494 $18K
J0585 Injection, onabotulinumtoxina, 1 unit 13 13 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,364 1,139 $14K
95810 Polysomnography; sleep staging with 4 or more additional parameters 25 25 $14K
92548 569 567 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 174 174 $7K
93886 51 51 $7K
93892 51 51 $7K
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 152 152 $7K
93890 51 51 $7K
96375 Therapeutic injection; each additional sequential IV push 553 546 $6K
J3475 Injection, magnesium sulfate, per 500 mg 5,710 5,527 $4K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 1,226 384 $3K
97164 98 90 $3K
E0700 Safety equipment, device or accessory, any type 385 345 $3K
92547 1,124 1,117 $3K
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). 44 42 $2K
99454 502 500 $1K
97162 38 38 $1K
95992 93 84 $915.61
J3411 Injection, thiamine hcl, 100 mg 581 573 $900.75
92652 16 16 $871.04
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 551 442 $612.28
99489 Ccm add 20min 14 14 $523.88
99426 13 13 $231.93
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 4,731 4,434 $110.35
J0280 Injection, aminophyllin, up to 250 mg 26 26 $94.53
36415 Collection of venous blood by venipuncture 148 144 $37.03
99457 255 255 $12.76
99458 12 12 $9.22
J1885 Injection, ketorolac tromethamine, per 15 mg 13 12 $4.63
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 14 14 $0.02
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 66 63 $0.00
99070 57 47 $0.00