Medicaid Provider Spending

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

UPSTATE MEDICAL ASSOCIATES PA

NPI: 1689871170 · SENECA, SC 29678 · Family Medicine Physician · NPI assigned 06/28/2007

$305K
Total Medicaid Paid
11,387
Total Claims
9,861
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRAMIREZ, HENRY (PRESIDENT)
NPI Enumeration Date06/28/2007

Related Entities

Other providers sharing the same authorized official: RAMIREZ, HENRY

ProviderCityStateTotal Paid
SOUTHERN OKLAHOMA WOMEN'S HEALTH ARDMORE OK $19K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 978 $27K
2019 750 $25K
2020 966 $32K
2021 2,128 $62K
2022 2,996 $61K
2023 2,376 $49K
2024 1,193 $50K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,508 2,157 $148K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,015 2,580 $133K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 433 375 $20K
36415 Collection of venous blood by venipuncture 1,061 939 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 405 229 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 54 52 $543.14
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 151 133 $520.31
90674 33 29 $361.98
J1100 Injection, dexamethasone sodium phosphate, 1 mg 116 100 $67.97
83036 Hemoglobin; glycosylated (A1C) 14 12 $37.02
3074F 170 157 $0.39
3078F 132 122 $0.22
3046F 112 102 $0.06
1159F 14 14 $0.02
2022F 329 303 $0.02
1126F 16 16 $0.02
3060F 56 46 $0.01
0518F 306 277 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 41 38 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 45 41 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 12 12 $0.00
1101F 551 505 $0.00
1036F 970 865 $0.00
3017F 723 643 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 93 88 $0.00
3008F 12 12 $0.00
2000F 15 14 $0.00