Medicaid Provider Spending

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

REGIONAL MEDICAL ASSOCIATES, PA

NPI: 1689772576 · DOVER, DE 19904 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI assigned 09/21/2006

$792K
Total Medicaid Paid
18,836
Total Claims
11,421
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBALU, GANESH (PRESIDENT)
NPI Enumeration Date09/21/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,646 $17K
2019 4,327 $108K
2020 5,242 $240K
2021 3,265 $161K
2022 2,445 $147K
2023 1,259 $81K
2024 652 $38K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,708 3,476 $275K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,486 2,019 $179K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,123 1,698 $119K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,863 913 $58K
90834 Psychotherapy, 45 minutes with patient 766 476 $35K
97124 1,179 602 $29K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 241 201 $22K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 865 434 $18K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 286 190 $15K
G2086 Office-based treatment for opioid use disorder, including development of the treatment plan, care coordination, individual therapy and group therapy and counseling; at least 70 minutes in the first calendar month 74 60 $8K
G2087 Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month 50 45 $7K
97012 833 403 $6K
90837 Psychotherapy, 53 minutes with patient 136 104 $6K
90832 Psychotherapy, 30 minutes with patient 127 83 $6K
97014 396 184 $3K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 88 57 $3K
01992 19 12 $1K
76942 21 16 $612.32
99232 Subsequent hospital care, per day, moderate complexity 52 14 $601.88
80305 64 56 $414.73
97010 156 123 $290.35
J1100 Injection, dexamethasone sodium phosphate, 1 mg 182 162 $149.38
99406 39 29 $102.54
G0444 Annual depression screening, 5 to 15 minutes 19 12 $75.76
G3002 Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) 34 28 $48.78
77003 29 24 $0.00