Medicaid Provider Spending

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

TAMAYO, RAUL

NPI: 1700814183 · RIVERSIDE, IL 60546 · Pediatrics Physician · NPI assigned 06/28/2006

$1.73M
Total Medicaid Paid
46,684
Total Claims
38,695
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,310 $211K
2019 7,897 $321K
2020 6,562 $211K
2021 7,192 $235K
2022 7,807 $279K
2023 6,064 $235K
2024 5,852 $240K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,150 7,330 $435K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,668 2,999 $275K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,157 2,809 $240K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,246 2,657 $217K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,304 1,994 $169K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,510 4,807 $88K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 975 873 $80K
90670 2,449 1,941 $75K
90680 1,484 1,146 $24K
90723 1,386 1,055 $23K
90686 2,814 2,441 $20K
90710 957 763 $19K
90648 2,140 1,677 $17K
96127 807 745 $14K
90633 1,125 899 $9K
81002 3,245 2,601 $8K
90685 432 323 $6K
90651 458 405 $3K
90734 317 285 $3K
90677 280 243 $2K
90656 196 181 $1K
90681 147 131 $940.80
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 40 32 $640.27
0071A 15 15 $632.10
90696 88 83 $550.40
90715 63 61 $501.27
90698 72 56 $454.40
90700 42 37 $268.80
90620 15 14 $96.00
85018 34 32 $85.16
86580 20 18 $81.80
90619 12 12 $76.80
90460 Immunization administration through 18 years of age via any route, first or only component 36 30 $76.00