Medicaid Provider Spending

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

THEODORE C.DOCU MD, PC

NPI: 1730304270 · NEW YORK,NY, NY 10033 · Internal Medicine Physician · NPI assigned 04/17/2007

$3.02M
Total Medicaid Paid
133,216
Total Claims
108,660
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOCU, THEODORE (PRESIDENT)
NPI Enumeration Date04/17/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,148 $287K
2019 13,001 $331K
2020 20,224 $460K
2021 26,100 $537K
2022 27,034 $595K
2023 23,634 $491K
2024 14,075 $315K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,894 11,914 $1.35M
99402 15,669 11,589 $488K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,875 5,524 $457K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,264 1,261 $171K
99490 Ccm add 20min 3,842 3,832 $148K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 2,495 2,050 $87K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 527 520 $58K
99354 1,138 875 $53K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 2,118 1,780 $24K
93000 1,645 1,603 $23K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 549 500 $23K
99403 484 380 $19K
99496 139 136 $16K
81000 5,610 5,424 $16K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 149 148 $13K
3074F 8,497 6,538 $12K
3078F 7,947 6,119 $11K
G0445 High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes 889 831 $9K
36415 Collection of venous blood by venipuncture 8,178 7,719 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 434 413 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 69 69 $6K
3079F 3,492 2,860 $5K
3077F 1,391 1,100 $3K
90686 148 148 $3K
3075F 1,562 1,293 $3K
3080F 411 335 $1K
90688 57 57 $1K
1159F 6,455 4,693 $250.00
99407 15 12 $249.61
1160F 14,096 10,210 $237.00
3044F 2,333 2,214 $232.00
96127 92 91 $113.23
99051 13 12 $111.00
1125F 518 426 $36.00
G9228 Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings) 1,564 1,441 $9.02
3008F 14,762 10,905 $1.63
3011F 2,329 2,222 $0.00
4010F 963 841 $0.00
3049F 89 84 $0.00
3048F 205 196 $0.00
4054F 12 12 $0.00
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening 14 14 $0.00
3050F 95 94 $0.00
93923 12 12 $0.00
3288F 137 136 $0.00
4551F 39 27 $0.00