Medicaid Provider Spending

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

BOUTROS, ADEL

NPI: 1700952827 · LAKE FOREST, CA 92630 · Family Medicine Physician · NPI assigned 11/28/2006

$405K
Total Medicaid Paid
30,750
Total Claims
16,241
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,108 $69K
2019 310 $7K
2020 4,369 $61K
2021 11,579 $151K
2022 7,856 $74K
2023 1,861 $27K
2024 667 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 15,369 2,162 $229K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,027 2,629 $45K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,369 1,246 $41K
99222 Initial hospital care, per day, moderate complexity 1,143 1,091 $34K
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 1,151 1,150 $15K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 1,052 1,052 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 223 223 $8K
99308 Subsequent nursing facility care, per day, straightforward 1,765 1,646 $7K
99347 3,366 2,922 $6K
99334 1,762 1,704 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 48 48 $2K
99233 Prolong inpt eval add15 m 92 29 $991.08
99305 152 147 $335.80
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 30 30 $326.90
99304 41 41 $150.21
99307 121 109 $123.91
99231 Subsequent hospital care, per day, straightforward or low complexity 39 12 $0.00