Medicaid Provider Spending

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

TRI-COUNTY FAMILY MEDICINE ASSO PC

NPI: 1730268541 · GOWANDA, NY 14070 · Family Medicine Physician · NPI assigned 11/03/2006

$10K
Total Medicaid Paid
2,577
Total Claims
2,475
Beneficiaries
12
Codes Billed
2018-01
First Month
2023-01
Last Month

Provider Details

Authorized OfficialPRITCHARD, MELISSA (ADMINISTRATIVE SECRETARY)
NPI Enumeration Date11/03/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 201 $2K
2019 413 $912.62
2020 399 $2K
2021 665 $1K
2022 779 $3K
2023 120 $785.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 169 164 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 93 93 $958.78
90688 62 62 $769.15
90460 Immunization administration through 18 years of age via any route, first or only component 12 12 $176.81
0011A 12 12 $171.50
3074F 13 12 $20.00
99080 346 338 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 175 169 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 666 634 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 25 25 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 876 832 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 128 122 $0.00