Medicaid Provider Spending

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

BOULEVARD MULTISPECIALTY MEDICAL PC

NPI: 1730245366 · OZONE PARK, NY 11416 · Multi-Specialty Clinic/Center · NPI assigned 12/28/2006

$36K
Total Medicaid Paid
470
Total Claims
389
Beneficiaries
2
Codes Billed
2018-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDAVIS, GORDON (MEDICAL DIRECTOR)
NPI Enumeration Date12/28/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 33 $2K
2019 15 $980.42
2020 16 $1K
2021 52 $4K
2022 198 $15K
2023 99 $7K
2024 57 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 442 370 $33K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 28 19 $3K