Medicaid Provider Spending

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

WEST SIDE ADULT AND PEDIATRIC CARE LLC

NPI: 1720107097 · CINCINNATI, OH 45239 · Pediatrics Physician · NPI assigned 03/28/2007

$1.29M
Total Medicaid Paid
47,406
Total Claims
43,829
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOGGS, KYLIE (OFFICE MANAGER)
NPI Enumeration Date03/28/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,618 $220K
2019 7,563 $198K
2020 6,304 $179K
2021 6,530 $178K
2022 5,763 $167K
2023 6,870 $176K
2024 5,758 $170K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,917 8,055 $372K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,669 2,505 $169K
99051 7,615 6,782 $154K
90460 Immunization administration through 18 years of age via any route, first or only component 4,498 4,202 $130K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,870 1,758 $105K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,844 1,760 $103K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,325 1,240 $82K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,103 1,016 $55K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,575 1,473 $39K
92551 3,831 3,628 $23K
90670 868 809 $13K
99173 2,471 2,334 $5K
90651 260 235 $5K
85018 2,182 2,048 $4K
90734 230 219 $3K
90698 407 379 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 262 241 $3K
90686 496 482 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 368 345 $3K
90633 204 200 $3K
81002 703 644 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 26 26 $2K
36415 Collection of venous blood by venipuncture 741 727 $2K
90710 129 124 $2K
90671 39 39 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 59 50 $1K
90621 26 26 $1K
90619 55 52 $750.01
90688 56 44 $390.78
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 34 31 $250.30
90716 13 13 $195.01
90461 2,273 2,104 $140.00
90744 143 129 $132.30
90715 17 13 $35.65
90696 15 14 $10.00
90658 67 67 $0.05
90685 15 15 $0.00