Medicaid Provider Spending

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

PULMONARY ASSOCIATES OF MORRISTOWN

NPI: 1730101684 · MORRISTOWN, TN 37814 · Pulmonary Disease Physician · NPI assigned 07/23/2006

$266K
Total Medicaid Paid
75,736
Total Claims
61,179
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMEJIA, ERNESTO (OWNER/ PROVIDER)
NPI Enumeration Date07/23/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,121 $57K
2019 13,397 $58K
2020 10,163 $34K
2021 10,893 $38K
2022 9,983 $27K
2023 9,684 $29K
2024 7,495 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,318 5,667 $53K
99232 Subsequent hospital care, per day, moderate complexity 3,877 945 $38K
99231 Subsequent hospital care, per day, straightforward or low complexity 4,317 1,116 $33K
99223 Prolong inpt eval add15 m 1,057 931 $33K
99222 Initial hospital care, per day, moderate complexity 1,026 911 $28K
94729 1,936 1,810 $15K
99233 Prolong inpt eval add15 m 617 130 $13K
94727 1,944 1,817 $13K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 646 578 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,531 1,511 $8K
94010 1,165 1,105 $6K
99406 3,284 2,923 $5K
94060 815 755 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 96 85 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 88 70 $666.00
90686 42 41 $217.27
J0696 Injection, ceftriaxone sodium, per 250 mg 329 273 $185.95
90688 92 79 $184.52
G0008 Administration of influenza virus vaccine 135 122 $136.77
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 32 32 $83.07
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,434 1,249 $59.17
94664 13 13 $14.68
G9903 Patient screened for tobacco use and identified as a tobacco non-user 4,706 4,080 $0.07
1124F 8,708 7,740 $0.07
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 10,241 8,994 $0.07
G9991 Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period 1,038 917 $0.04
G8482 Influenza immunization administered or previously received 5,290 4,714 $0.04
G8484 Influenza immunization was not administered, reason not given 1,968 1,810 $0.02
1036F 2,266 2,055 $0.01
4040F 3,468 3,096 $0.01
3023F 1,163 1,087 $0.01
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 2,145 1,882 $0.00
1123F 899 796 $0.00
3025F 257 236 $0.00
4140F 48 38 $0.00
4004F 1,093 992 $0.00
G9990 Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period 138 118 $0.00
4025F 255 237 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 259 224 $0.00