Medicaid Provider Spending

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

LIBERTY PRIMARY CARE LLC

NPI: 1699262295 · TOMS RIVER, NJ 08753 · Internal Medicine Physician · NPI assigned 04/18/2018

$620K
Total Medicaid Paid
17,883
Total Claims
15,659
Beneficiaries
11
Codes Billed
2018-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGHETIYA, VINODRAI (OWNER)
NPI Enumeration Date04/18/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 547 $25K
2019 2,108 $108K
2020 2,654 $95K
2021 3,090 $113K
2022 3,608 $108K
2023 3,293 $98K
2024 2,583 $73K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,574 7,259 $277K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,025 6,281 $274K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 812 798 $33K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 414 409 $20K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 99 99 $7K
90688 354 343 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 287 282 $3K
99232 Subsequent hospital care, per day, moderate complexity 119 26 $1K
99406 88 84 $268.31
90658 14 14 $201.74
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 97 64 $3.41