Medicaid Provider Spending

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

COULTER, FRANKLIN

NPI: 1730103144 · ORANGEBURG, SC 29115 · Family Medicine Physician · NPI assigned 07/27/2006

$208K
Total Medicaid Paid
8,370
Total Claims
7,783
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,466 $51K
2019 1,172 $40K
2020 1,062 $32K
2021 1,641 $28K
2022 1,256 $25K
2023 966 $20K
2024 807 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,595 3,372 $153K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,141 895 $45K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 58 54 $4K
36415 Collection of venous blood by venipuncture 1,895 1,813 $3K
82947 842 818 $1K
90686 60 60 $499.87
99308 Subsequent nursing facility care, per day, straightforward 15 13 $428.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 73 73 $395.00
90674 20 20 $217.96
90658 13 13 $198.51
99307 16 12 $165.03
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 27 27 $128.00
1126F 57 57 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 69 69 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 65 65 $0.00
G0008 Administration of influenza virus vaccine 38 38 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 26 26 $0.00
1101F 72 72 $0.00
1159F 110 109 $0.00
1160F 108 107 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 53 53 $0.00
G8482 Influenza immunization administered or previously received 17 17 $0.00