Medicaid Provider Spending

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

WERKHAVEN, JAY

NPI: 1700978111 · NASHVILLE, TN 37232 · Pediatric Otolaryngology Physician · NPI assigned 09/30/2006

$278K
Total Medicaid Paid
1,787
Total Claims
1,699
Beneficiaries
6
Codes Billed
2018-01
First Month
2020-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 677 $103K
2019 783 $138K
2020 327 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
42820 Tonsillectomy and adenoidectomy; younger than age 12 317 306 $100K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 379 366 $88K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 578 543 $46K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 190 175 $27K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 274 265 $14K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 49 44 $4K