Medicaid Provider Spending

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

JACK V. DITEODORO M.D,LLC

NPI: 1700194636 · STAMFORD, CT 06905 · Exclusive Provider Organization · NPI assigned 09/14/2010

$50K
Total Medicaid Paid
9,515
Total Claims
6,531
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialDITEODORO, JACK (OWNER)
NPI Enumeration Date09/14/2010

Related Entities

Other providers sharing the same authorized official: DITEODORO, JACK

ProviderCityStateTotal Paid
STELLA MEDICAL CARE LLC STAMFORD CT $457K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,202 $8K
2019 555 $4K
2020 749 $8K
2021 995 $9K
2022 618 $9K
2023 888 $8K
2024 508 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 740 650 $20K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,882 2,594 $17K
99306 Prolong nursin fac eval 15m 473 443 $8K
99308 Subsequent nursing facility care, per day, straightforward 4,622 2,454 $5K
99307 781 374 $597.31
99310 Prolong nursin fac eval 15m 17 16 $0.00