Medicaid Provider Spending

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

1699078766

NPI: 1699078766

Deactivated NPI · This NPI was deactivated on 08/21/2024.
$4.38M
Total Medicaid Paid
44,621
Total Claims
35,119
Beneficiaries
32
Codes Billed
2018-01
First Month
2021-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,000 $907K
2019 13,432 $1.22M
2020 15,914 $1.60M
2021 5,275 $649K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99349 22,060 17,417 $3.15M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,384 8,915 $707K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,206 5,359 $313K
99344 943 856 $115K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 269 242 $23K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 214 207 $18K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 335 302 $17K
99385 111 109 $12K
99386 39 38 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 59 56 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 93 74 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 44 39 $2K
99490 Ccm add 20min 237 195 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 182 115 $2K
99383 22 18 $1K
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 102 98 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 18 18 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 17 13 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13 12 $995.12
81002 413 311 $990.60
93000 28 26 $520.44
90649 16 14 $257.69
G0180 Physician or allowed practitioner 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 18 18 $157.07
G8510 Screening for depression is documented as negative, a follow-up plan is not required 139 117 $0.00
G8422 Bmi not documented, documentation the patient is not eligible for bmi calculation 112 97 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 15 12 $0.00
1036F 45 45 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 22 15 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 249 205 $0.00
G8785 Blood pressure reading not documented, reason not given 122 108 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 33 24 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 61 44 $0.00