Medicaid Provider Spending

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

1700387644

NPI: 1700387644

Deactivated NPI · This NPI was deactivated on 12/10/2024.
$179K
Total Medicaid Paid
55,506
Total Claims
36,677
Beneficiaries
46
Codes Billed
2019-01
First Month
2023-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 20,595 $24K
2020 25,505 $124K
2021 3,378 $13K
2022 4,865 $16K
2023 1,163 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,654 7,720 $116K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,525 1,798 $34K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,999 2,314 $16K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 440 379 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 164 157 $3K
99441 558 471 $1K
99442 546 474 $735.79
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 106 72 $586.36
0031A 43 39 $300.54
99397 37 31 $253.86
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 30 30 $239.24
99385 18 18 $226.98
99386 15 15 $189.15
0001A 128 116 $153.90
3725F 1,086 757 $138.74
0002A 90 79 $106.34
3075F 3,909 2,610 $100.20
90686 16 14 $100.00
3074F 4,530 3,201 $50.44
98967 20 17 $36.20
1158F 423 372 $12.65
99499 261 179 $0.02
3079F 3,553 2,403 $0.00
3008F 3,326 1,735 $0.00
4010F 3,920 2,601 $0.00
4008F 1,533 835 $0.00
1125F 136 118 $0.00
1170F 500 428 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 246 142 $0.00
1126F 223 200 $0.00
1101F 476 407 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 28 16 $0.00
1111F 18 12 $0.00
3061F 25 24 $0.00
3044F 15 13 $0.00
G0008 Administration of influenza virus vaccine 19 16 $0.00
3078F 5,037 3,453 $0.00
4013F 3,176 2,015 $0.00
3288F 507 434 $0.00
1160F 468 391 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 22 13 $0.00
1159F 469 392 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 82 48 $0.00
98966 99 90 $0.00
3045F 16 14 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 14 14 $0.00