Medicaid Provider Spending

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

WESTSIDE ALLERGY CARE, PC

NPI: 1689775900 · BROCKPORT, NY 14420 · Allergy & Immunology Physician · NPI assigned 09/26/2006

$79K
Total Medicaid Paid
3,153
Total Claims
2,256
Beneficiaries
5
Codes Billed
2018-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialVALET, SCOTT (PRESIDENT)
NPI Enumeration Date09/26/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 599 $16K
2019 787 $20K
2020 958 $25K
2021 809 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 753 704 $50K
95117 2,313 1,469 $22K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 43 42 $4K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 28 28 $4K
95115 16 13 $137.52