Medicaid Provider Spending

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

M,BASTAWROS,PHYSICIAN,P.C.

NPI: 1720495328 · STATEN ISLAND, NY 10305 · Exclusive Provider Organization · NPI assigned 07/15/2014

$13K
Total Medicaid Paid
283
Total Claims
268
Beneficiary Records
5
Codes Billed
2019-09
First Month
2021-08
Last Month

Provider Details

Authorized OfficialBASTAWROS, MARY (PRESIDENT)
NPI Enumeration Date07/15/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 92 $6K
2020 153 $6K
2021 38 $1K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 145 135 $9K
90460 Immunization administration through 18 years of age via any route, first or only component 55 55 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 31 26 $1K
92551 26 26 $311.12
99173 26 26 $85.98