Medicaid Provider Spending

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

AVOLESE, SEBASTIAN

NPI: 1710921051 · GLENDALE, NY 11385 · General Practice Physician · NPI assigned 06/16/2006

$137K
Total Medicaid Paid
10,841
Total Claims
10,043
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,634 $24K
2019 2,452 $27K
2020 1,819 $19K
2021 1,098 $15K
2022 1,165 $15K
2023 1,395 $19K
2024 1,278 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,057 6,734 $90K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,126 2,121 $39K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 379 378 $3K
99442 318 251 $2K
99441 146 118 $734.46
99231 Subsequent hospital care, per day, straightforward or low complexity 513 156 $466.24
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $441.96
99443 66 58 $429.28
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 87 86 $223.76
99232 Subsequent hospital care, per day, moderate complexity 36 29 $78.03
99239 Hospital discharge day management, more than 30 minutes 14 14 $0.00
82270 14 14 $0.00
1125F 25 25 $0.00
99238 Hospital discharge day management, 30 minutes or less 35 34 $0.00
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg 13 13 $0.00