Medicaid Provider Spending

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

PEDIATRIC&ADOLESCENT MEDICAL CARE PLLC

NPI: 1699103879 · BROOKLYN, NY 11209 · Pediatric Adolescent Medicine Physician · NPI assigned 10/24/2013

$67K
Total Medicaid Paid
848
Total Claims
709
Beneficiaries
4
Codes Billed
2023-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGHALY, EMAD (CEO)
NPI Enumeration Date10/24/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 359 $28K
2024 489 $39K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 387 310 $32K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 325 268 $31K
90460 Immunization administration through 18 years of age via any route, first or only component 123 118 $4K
97802 13 13 $331.20