Medicaid Provider Spending

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

DURKIN, LOUIS

NPI: 1699784025 · SPRINGFIELD, MA 01104 · Emergency Medicine Physician · NPI assigned 08/05/2006

$869K
Total Medicaid Paid
14,722
Total Claims
12,249
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,651 $207K
2019 6,643 $382K
2020 3,141 $201K
2021 776 $51K
2022 181 $10K
2023 170 $10K
2024 160 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 6,724 6,597 $315K
99284 Emergency department visit for the evaluation and management, high severity 2,636 2,611 $234K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,472 668 $86K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 619 614 $82K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,590 696 $76K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 1,086 474 $65K
99282 Emergency department visit for the evaluation and management, low to moderate severity 323 319 $10K
84460 136 135 $719.29
84450 136 135 $703.31