Medicaid Provider Spending

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

SOUTH SHORE FAMILY MEDICAL ASSOCIATES, P.C.

NPI: 1720122716 · INWOOD, NY 11096 · Family Medicine Physician · NPI assigned 02/16/2007

$1.85M
Total Medicaid Paid
349,959
Total Claims
297,002
Beneficiaries
67
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDETWEILER, ALLAN (PRESIDENT)
NPI Enumeration Date02/16/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 47,118 $362K
2019 56,329 $357K
2020 51,982 $203K
2021 68,652 $270K
2022 52,028 $212K
2023 43,032 $174K
2024 30,818 $272K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,336 14,438 $569K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,973 17,407 $528K
99401 11,314 8,710 $160K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 3,009 3,006 $131K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 9,670 7,622 $101K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,077 2,071 $83K
93000 3,020 3,008 $44K
G0444 Annual depression screening, 5 to 15 minutes 6,457 5,198 $32K
99408 1,117 866 $30K
99406 2,751 2,343 $25K
36415 Collection of venous blood by venipuncture 17,171 16,689 $20K
3074F 14,836 12,444 $16K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 2,059 1,685 $15K
3078F 10,436 9,194 $12K
99385 274 274 $11K
99441 373 333 $11K
3079F 7,867 6,977 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 509 505 $9K
99215 Prolong outpt/office vis 128 128 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 698 565 $6K
3075F 3,816 3,514 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 44 44 $5K
99051 1,243 1,162 $3K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 14 14 $3K
99386 51 51 $3K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 102 87 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $2K
94060 64 64 $1K
3080F 963 893 $1K
3077F 1,091 986 $1K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 619 518 $656.60
1126F 13,109 11,033 $622.31
1159F 19,687 15,851 $611.13
81002 492 482 $594.28
99497 13 13 $548.01
1160F 19,789 15,924 $493.72
86480 28 26 $410.32
1170F 14,462 11,804 $377.11
3044F 2,748 2,736 $330.13
87070 34 33 $181.28
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $128.11
G8473 Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed 198 172 $59.50
99072 11,832 9,480 $52.52
1125F 2,146 2,021 $50.02
99000 14,236 13,855 $37.45
81000 72 71 $34.00
3051F 38 37 $20.00
1494F 21,717 17,446 $6.34
3049F 822 822 $5.06
2010F 21,726 17,459 $2.11
G8510 Screening for depression is documented as negative, a follow-up plan is not required 65 64 $0.35
3048F 1,371 1,365 $0.11
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 14 14 $0.03
4010F 268 232 $0.02
1000F 15,454 12,335 $0.00
2001F 21,711 17,445 $0.00
99058 404 397 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 307 271 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 78 77 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 33 33 $0.00
3014F 13 12 $0.00
1090F 15,229 12,073 $0.00
3725F 15,312 12,157 $0.00
3050F 345 344 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 33 33 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 51 50 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 15 14 $0.00