Medicaid Provider Spending

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

PHYSICIAN PROVIDERS GROUP PA

NPI: 1720073216 · INVERNESS, FL 34452 · Specialist · NPI assigned 09/12/2005

$51K
Total Medicaid Paid
17,590
Total Claims
12,207
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialULSETH, ROBERT (MD/OWNER)
NPI Enumeration Date09/12/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 394 $0.00
2019 1,883 $5K
2020 1,352 $4K
2021 3,100 $10K
2022 3,160 $8K
2023 3,557 $14K
2024 4,144 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99310 Prolong nursin fac eval 15m 2,561 1,607 $20K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,153 266 $10K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,348 867 $8K
99307 1,069 680 $4K
99308 Subsequent nursing facility care, per day, straightforward 410 268 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,367 1,253 $1K
99232 Subsequent hospital care, per day, moderate complexity 44 26 $1K
99306 Prolong nursin fac eval 15m 80 57 $787.60
99221 12 12 $711.34
99441 603 533 $509.35
99348 73 54 $498.48
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 106 93 $392.49
99304 16 13 $378.96
99305 19 14 $261.76
99442 287 261 $245.21
G0408 Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth 173 122 $232.83
G0407 Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth 200 143 $200.36
99336 16 12 $92.91
80305 681 607 $53.96
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 92 69 $50.29
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,405 1,749 $0.00
G8785 Blood pressure reading not documented, reason not given 1,134 805 $0.00
G9740 Hospice services given to patient any time during the measurement period 1,432 998 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 33 22 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 27 25 $0.00
G8756 No documentation of blood pressure measurement, reason not given 1,771 1,314 $0.00
G8422 Bmi not documented, documentation the patient is not eligible for bmi calculation 445 311 $0.00
G8734 Elder maltreatment screen documented as negative, follow-up is not required 19 14 $0.00
G2181 Bmi not documented due to medical reason or patient refusal of height or weight measurement 14 12 $0.00