Medicaid Provider Spending

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

PROHEALTH PHYSICIANS PC

NPI: 1720194053 · FARMINGTON, CT 06032 · 207R00000X

$80.49M
Total Medicaid Paid
1,762,658
Total Claims
1,564,437
Beneficiaries
186
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 226,052 $10.97M
2019 245,133 $11.84M
2020 200,149 $9.03M
2021 280,816 $12.47M
2022 281,092 $12.85M
2023 283,840 $13.13M
2024 245,576 $10.19M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 462,934 391,927 $34.12M
99213 320,314 282,102 $19.89M
90460 137,931 128,084 $5.28M
99392 37,388 35,295 $4.28M
99393 31,999 30,143 $3.59M
99391 25,240 22,840 $2.78M
99394 15,060 14,172 $1.80M
96127 67,906 61,066 $1.23M
87635 25,995 23,240 $1.10M
U0003 Cov-19 amp prb hgh thruput 13,369 12,629 $902K
90471 32,377 30,156 $561K
80061 41,219 35,262 $352K
96110 18,246 16,895 $339K
U0005 Infec agen detec ampli probe 13,367 12,628 $301K
80053 40,604 35,379 $287K
95810 936 685 $225K
31231 3,030 2,543 $212K
87502 2,888 2,579 $190K
99215 Prolong outpt/office vis 1,813 1,439 $171K
95806 1,816 1,579 $162K
99177 8,723 8,245 $155K
84443 13,030 11,418 $153K
99212 3,854 3,452 $150K
85025 26,138 22,743 $139K
36416 44,963 41,736 $135K
82306 5,988 5,101 $118K
99243 1,365 1,323 $112K
36415 51,445 43,553 $108K
99173 13,239 12,358 $87K
83036 13,820 11,727 $82K
92558 3,416 3,214 $75K
87880 6,372 5,797 $59K
83655 5,626 5,350 $59K
90674 13,732 12,861 $57K
87804 4,108 3,643 $57K
87651 2,018 1,826 $56K
99308 2,747 2,465 $56K
99396 668 593 $53K
99203 1,715 1,379 $51K
92551 8,324 7,842 $47K
96161 2,305 2,063 $47K
92557 2,325 1,972 $46K
31575 926 814 $40K
99309 1,545 1,395 $38K
92583 1,870 1,723 $37K
99244 328 313 $36K
99204 545 437 $34K
0071A 1,009 867 $33K
0072A 983 856 $33K
90686 68,832 64,835 $32K
99442 1,264 1,111 $32K
99211 1,722 1,373 $30K
99051 5,947 5,347 $30K
99395 270 235 $25K
80050 1,009 839 $25K
G8510 Scr dep neg, no plan reqd 1,571 1,460 $24K
G2211 Complex e/m visit add on 14,697 11,863 $24K
94760 16,458 14,683 $24K
92552 1,902 1,821 $22K
90480 666 643 $21K
93000 1,823 1,587 $18K
82607 1,618 1,359 $16K
90682 758 598 $16K
96160 955 783 $16K
69210 1,558 1,271 $14K
99307 909 756 $13K
87491 401 383 $12K
87591 387 369 $12K
99443 244 219 $10K
99406 919 812 $9K
31579 129 104 $9K
84439 1,394 1,238 $9K
91320 170 162 $9K
86803 765 693 $8K
95811 41 28 $8K
90677 1,637 1,550 $8K
81001 3,502 3,044 $7K
82043 1,821 1,549 $6K
99306 Prolong nursin fac eval 15m 101 93 $6K
99381 61 48 $5K
87070 727 679 $5K
90651 1,286 1,246 $4K
96111 45 31 $4K
92504 379 300 $4K
82570 1,247 982 $3K
99347 173 137 $3K
83718 450 434 $3K
87634 50 42 $3K
94640 266 238 $2K
92567 319 266 $2K
92550 408 365 $2K
99174 118 117 $2K
99441 860 788 $2K
87081 333 327 $2K
82465 439 423 $2K
90662 676 527 $1K
0001A 79 42 $1K
85018 28,155 26,742 $1K
80048 199 195 $1K
85027 292 243 $1K
99304 31 27 $1K
90472 62 62 $1K
0124A 29 24 $960.00
84480 120 85 $902.06
99202 18 14 $709.12
87807 65 62 $675.55
82728 55 53 $586.53
96380 47 47 $574.56
82746 43 41 $519.48
84436 132 97 $495.64
G0179 Md recertification hha pt 51 50 $488.53
90653 115 113 $488.40
0112A 12 12 $480.00
83550 67 65 $466.91
99050 31 31 $450.24
0154A 12 12 $440.00
0111A 25 13 $440.00
0002A 23 13 $440.00
90732 32 31 $431.00
87086 56 53 $373.96
83540 67 65 $345.20
80305 54 53 $309.55
82550 86 64 $263.40
G8431 Pos clin depres scrn f/u doc 47 28 $259.20
94060 17 12 $255.78
83735 50 41 $237.95
94761 69 66 $204.80
90688 18 14 $196.24
81002 2,291 2,120 $194.04
G0439 Ppps, subseq visit 238 183 $176.73
82962 145 100 $145.88
96372 20 13 $139.60
84450 50 46 $134.82
90734 440 427 $115.55
84460 65 61 $114.18
94762 19 12 $113.61
82947 77 64 $105.00
90785 48 31 $103.04
85652 38 36 $82.98
81003 319 293 $78.46
82044 44 41 $61.18
85007 14 14 $45.92
82248 19 14 $44.73
88738 209 196 $36.40
J7613 Albuterol non-comp unit 240 216 $11.05
G0008 Admin influenza virus vac 2,117 1,818 $2.30
G0009 Admin pneumococcal vaccine 27 26 $0.01
97110 119 30 $0.01
90723 3,255 3,108 $0.00
90680 4,200 4,045 $0.00
1170F 916 872 $0.00
90647 3,083 2,968 $0.00
90698 1,883 1,807 $0.00
91307 2,813 2,398 $0.00
91305 164 75 $0.00
99000 513 463 $0.00
90697 456 436 $0.00
90619 202 191 $0.00
90744 205 198 $0.00
1126F 173 164 $0.00
90716 317 307 $0.00
90666 146 137 $0.00
4037F 18 16 $0.00
90696 63 53 $0.00
99024 22 12 $0.00
1125F 31 30 $0.00
G2024 Spec coll snf/lab covid-19 150 143 $0.00
90632 12 12 $0.00
91300 271 230 $0.00
90670 10,052 9,652 $0.00
90661 8,831 8,692 $0.00
1160F 2,024 1,876 $0.00
90685 1,463 1,378 $0.00
1159F 2,024 1,876 $0.00
90707 344 333 $0.00
90648 920 880 $0.00
90633 1,955 1,857 $0.00
91321 208 204 $0.00
90710 175 170 $0.00
90672 13 13 $0.00
91312 29 24 $0.00
90621 12 12 $0.00
91311 84 61 $0.00
90681 42 41 $0.00
90715 12 12 $0.00
90700 13 13 $0.00