Medicaid Provider Spending

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

SHREVEPORT INTERNAL MEDICINE AND PEDIATRICS LLC

NPI: 1710041900 · SHREVEPORT, LA 71115 · Internal Medicine Physician · NPI assigned 12/21/2006

$109K
Total Medicaid Paid
17,900
Total Claims
5,469
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialMATRIANO LIM, ALLAN (OWNER)
NPI Enumeration Date12/21/2006

Related Entities

Other providers sharing the same authorized official: MATRIANO LIM, ALLAN

ProviderCityStateTotal Paid
ABAKA LLC SHREVEPORT LA $47K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,803 $20K
2019 2,894 $17K
2020 2,264 $17K
2021 3,012 $28K
2022 3,638 $27K
2023 2,236 $0.00
2024 1,053 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 13,553 1,648 $81K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,195 2,013 $15K
99308 Subsequent nursing facility care, per day, straightforward 482 438 $3K
99223 Prolong inpt eval add15 m 209 185 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity 531 487 $3K
99222 Initial hospital care, per day, moderate complexity 102 86 $2K
99238 Hospital discharge day management, 30 minutes or less 224 206 $2K
99233 Prolong inpt eval add15 m 308 139 $943.78
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 17 14 $120.30
99307 38 33 $79.16
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 42 38 $68.86
99239 Hospital discharge day management, more than 30 minutes 31 25 $66.67
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 17 14 $11.88
G0008 Administration of influenza virus vaccine 86 82 $0.00
90688 12 12 $0.00
90662 53 49 $0.00