Medicaid Provider Spending

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

LARINA V GUTENBERG DO PLLC

NPI: 1710253646 · SAN ANTONIO, TX 78253 · Pain Medicine (Anesthesiology) Physician · NPI assigned 03/26/2012

$14K
Total Medicaid Paid
1,601
Total Claims
1,484
Beneficiaries
4
Codes Billed
2020-05
First Month
2024-02
Last Month

Provider Details

Authorized OfficialGUTENBERG, ALEKSEI (ADMINISTRATOR)
NPI Enumeration Date03/26/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 395 $338.35
2021 690 $5K
2022 307 $4K
2023 178 $3K
2024 31 $995.58

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 889 847 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 499 424 $5K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 101 101 $106.51
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 112 112 $0.00