Medicaid Provider Spending

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

PEDIATRIC SPECIALTY PRACTICES, PLLC

NPI: 1699233080 · FEDERAL WAY, WA 98003 · Pediatric Cardiology Physician · NPI assigned 03/05/2019

$3.64M
Total Medicaid Paid
105,193
Total Claims
90,309
Beneficiaries
99
Codes Billed
2019-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialAHMAD, NAUMAN (MANAGING DIRECTOR)
NPI Enumeration Date03/05/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 3,748 $140K
2020 12,797 $531K
2021 23,411 $834K
2022 22,069 $841K
2023 20,831 $659K
2024 22,337 $639K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,034 16,765 $962K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,694 8,324 $722K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1,009 863 $263K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,139 3,589 $254K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,393 3,207 $200K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,871 1,707 $178K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,690 2,381 $167K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,678 2,469 $159K
87631 1,221 1,067 $99K
99215 Prolong outpt/office vis 1,083 909 $94K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,257 1,191 $77K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,828 1,569 $48K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 431 408 $40K
80061 Lipid panel 3,219 2,964 $23K
90670 1,987 1,866 $20K
92081 1,813 1,655 $17K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 456 355 $15K
90680 1,466 1,376 $14K
90648 1,539 1,447 $13K
90686 1,492 1,405 $13K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 595 506 $12K
98966 1,112 918 $11K
36416 4,625 4,304 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 884 845 $11K
99443 210 200 $10K
90633 1,210 1,130 $10K
99460 152 142 $10K
93320 463 437 $10K
90723 1,000 942 $9K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 845 759 $9K
99239 Hospital discharge day management, more than 30 minutes 136 132 $9K
99442 285 252 $9K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 100 70 $8K
90472 Immunization administration, each additional vaccine (list separately) 498 479 $8K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,192 996 $7K
99174 3,396 2,423 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 687 251 $6K
85018 4,853 4,501 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 724 654 $6K
99354 126 119 $6K
82962 2,829 2,605 $5K
83655 719 694 $5K
90688 583 525 $5K
90698 378 360 $4K
98967 436 325 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 509 449 $4K
93325 359 334 $4K
90651 498 455 $3K
81002 1,872 1,708 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 65 63 $3K
90700 313 296 $3K
0001A 127 100 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 353 288 $3K
90710 333 317 $2K
87428 76 49 $2K
92567 369 337 $2K
96127 730 580 $2K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 97 83 $2K
90707 214 193 $2K
0002A 78 70 $2K
99383 29 28 $2K
99381 24 24 $2K
99205 Prolong outpt/office vis 13 13 $2K
90672 198 193 $2K
87807 411 385 $2K
90656 498 480 $2K
99382 18 18 $2K
87634 35 32 $2K
0072A 55 54 $2K
90716 135 130 $1K
99201 58 54 $1K
90461 162 155 $1K
0071A 41 38 $1K
90677 305 285 $1K
99072 1,721 1,064 $1K
99499 91 88 $959.74
90474 94 89 $830.96
90696 135 127 $825.11
90734 89 73 $721.94
99173 490 472 $634.71
90687 103 87 $508.21
90715 26 24 $318.79
94375 15 14 $261.03
90744 20 14 $251.28
90620 29 27 $184.92
99188 65 63 $159.00
94760 492 403 $142.14
90619 56 56 $121.87
93000 14 14 $58.45
94664 38 35 $32.46
96161 179 164 $25.65
94761 44 38 $17.15
96160 55 48 $12.34
J1100 Injection, dexamethasone sodium phosphate, 1 mg 37 29 $2.48
99000 13 12 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 31 29 $0.00
87581 14 14 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 14 14 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 15 14 $0.00