Medicaid Provider Spending

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

1730442153

NPI: 1730442153

Deactivated NPI · This NPI was deactivated on 06/19/2025.
$3.91M
Total Medicaid Paid
152,569
Total Claims
99,246
Beneficiaries
56
Codes Billed
2018-01
First Month
2022-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 46,906 $873K
2019 37,078 $871K
2020 31,919 $894K
2021 31,398 $1.02M
2022 5,268 $245K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 33,166 24,628 $2.81M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 37,517 22,321 $749K
90832 Psychotherapy, 30 minutes with patient 4,235 2,434 $88K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,098 1,395 $59K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 1,470 1,222 $46K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,984 1,857 $28K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,093 678 $27K
90686 2,004 1,194 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,400 845 $17K
83036 Hemoglobin; glycosylated (A1C) 3,647 2,337 $15K
99442 1,155 607 $11K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,260 741 $9K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 297 177 $8K
99441 833 425 $4K
D7140 Extraction, erupted tooth or exposed root 39 12 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 62 38 $2K
90715 155 94 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 77 47 $2K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 48 44 $1K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 58 54 $1K
97810 87 37 $1K
90834 Psychotherapy, 45 minutes with patient 30 25 $804.68
99443 48 29 $440.77
82962 350 197 $376.98
99385 17 12 $368.40
80305 69 26 $284.33
90472 Immunization administration, each additional vaccine (list separately) 16 12 $109.93
81002 40 26 $20.50
3046F 2,209 1,267 $0.00
4004F 11,706 7,065 $0.00
3045F 654 443 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,908 2,475 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 2,673 1,746 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 5,958 3,875 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 133 116 $0.00
G8598 Aspirin or another antiplatelet therapy used 369 311 $0.00
G8484 Influenza immunization was not administered, reason not given 225 213 $0.00
3051F 128 70 $0.00
G8482 Influenza immunization administered or previously received 107 106 $0.00
85610 29 24 $0.00
3044F 841 496 $0.00
1036F 13,768 8,250 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 145 132 $0.00
G8756 No documentation of blood pressure measurement, reason not given 872 477 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 6,907 4,472 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 678 574 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 2,054 1,760 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 1,773 1,163 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 55 52 $0.00
D1351 Sealant - per tooth 1,525 424 $0.00
3017F 1,543 1,308 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 148 129 $0.00
3014F 594 522 $0.00
G0008 Administration of influenza virus vaccine 16 16 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 156 124 $0.00
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) 140 122 $0.00