Medicaid Provider Spending

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

SOM MEDICAL PRACTICE PLLC

NPI: 1720598501 · NIAGARA FALLS, NY 14304 · Pediatrics Physician · NPI assigned 10/05/2017

$391K
Total Medicaid Paid
10,753
Total Claims
10,202
Beneficiaries
39
Codes Billed
2021-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSOM, SANTANU (PHYSICIAN/PRESIDENT)
NPI Enumeration Date10/05/2017

Related Entities

Other providers sharing the same authorized official: SOM, SANTANU

ProviderCityStateTotal Paid
NIAGARA FALLS URGENT CARE NIAGARA FALLS NY $11K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 174 $7K
2022 1,288 $56K
2023 2,965 $110K
2024 6,326 $218K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,122 1,987 $179K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,644 1,526 $95K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 224 224 $26K
90838 291 268 $24K
99443 273 259 $14K
99497 259 256 $13K
99385 132 132 $10K
99406 526 481 $5K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 81 72 $4K
99401 192 160 $4K
96127 1,656 1,595 $4K
99442 66 63 $3K
G0444 Annual depression screening, 5 to 15 minutes 292 290 $3K
90792 Psychiatric diagnostic evaluation with medical services 15 15 $2K
90839 13 13 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 15 15 $956.09
G0442 Annual alcohol misuse screening, 5 to 15 minutes 285 283 $917.86
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $897.14
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 313 290 $679.00
99484 68 67 $648.57
G8510 Screening for depression is documented as negative, a follow-up plan is not required 296 295 $288.94
96156 13 12 $165.72
3074F 161 156 $140.00
2014F 109 100 $60.00
3078F 78 76 $20.00
4004F 121 120 $10.01
3288F 86 84 $5.01
1159F 95 95 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 247 246 $0.00
1160F 105 105 $0.00
97803 12 12 $0.00
3085F 17 14 $0.00
3037F 55 51 $0.00
3008F 418 386 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 244 243 $0.00
2001F 73 66 $0.00
2010F 72 66 $0.00
2000F 59 54 $0.00
97802 12 12 $0.00