Medicaid Provider Spending

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

1699739524

NPI: 1699739524

Deactivated NPI · This NPI was deactivated on 08/07/2024.
$116K
Total Medicaid Paid
4,672
Total Claims
2,096
Beneficiaries
8
Codes Billed
2021-08
First Month
2024-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 929 $18K
2022 1,796 $41K
2023 1,665 $41K
2024 282 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 1,277 524 $66K
99417 Prolong home eval add 15m 655 310 $31K
99408 529 253 $9K
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) 142 59 $8K
99406 415 206 $2K
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 505 248 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,049 458 $0.00
4004F 100 38 $0.00