Medicaid Provider Spending

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

GREAT LAKES PHYSICIAN PRACTICE PC

NPI: 1730599176 · JAMESTOWN, NY 14701 · Pulmonary Disease Physician · NPI assigned 05/07/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DEVLIN, PATRICIA controls 18+ related entities in our dataset. Read more

$8.88M
Total Medicaid Paid
139,729
Total Claims
135,713
Beneficiaries
85
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDEVLIN, PATRICIA (SR.DIRECTOR)
NPI Enumeration Date05/07/2014

Related Entities

Other providers sharing the same authorized official: DEVLIN, PATRICIA

ProviderCityStateTotal Paid
URGENT CARE, INC.- WEST VIRGINIA SOUTH CHARLESTON WV $66.96M
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $23.58M
UPMC ALTOONA ALTOONA PA $394K
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $287K
UPMC ALTOONA ALTOONA PA $230K
UPMC ALTOONA ALTOONA PA $165K
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $128K
UPMC WESTERN MARYLAND HEALTH SERVICES, LLC CUMBERLAND MD $107K
UPMC ADVANCED PRACTICE PROVIDERS PITTSBURGH PA $75K
UPMC WESTERN MARYLAND HEALTH SERVICES, LLC CUMBERLAND MD $38K
UPMC WESTERN MARYLAND HEALTH SERVICES, LLC FROSTBURG MD $21K
UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA $14K
UNIVERSITY OF PITTSBURGH PHYSICIANS CLARION PA $4K
UPMC WESTERN MARYLAND HEALTH SERVICES, LLC CUMBERLAND MD $2K
UPMC WESTERN MARYLAND HEALTH SERVICES, LLC CUMBERLAND MD $1K
UPMC COMMUNITY MEDICINE, INC PITTSBURGH PA $1K
UPMC WESTERN MARYLAND HEALTH SERVICES, LLC MC HENRY MD $949.96
UPMC WESTERN MARYLAND HEALTH SERVICES, LLC FROSTBURG MD $406.73

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,144 $390K
2019 11,027 $600K
2020 20,162 $1.28M
2021 22,876 $1.61M
2022 25,555 $1.78M
2023 30,450 $1.90M
2024 21,515 $1.32M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 34,905 34,336 $2.56M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 31,566 30,298 $2.26M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 14,027 13,862 $1.49M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,060 17,212 $880K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,954 2,942 $231K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,061 2,058 $178K
99283 Emergency department visit for the evaluation and management, moderate severity 3,558 3,545 $163K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,525 1,525 $156K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,987 1,986 $141K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,368 1,367 $112K
90682 1,210 1,206 $67K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 420 420 $60K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 430 430 $51K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 573 573 $43K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 327 322 $42K
45380 Colonoscopy, flexible; with biopsy, single or multiple 334 333 $40K
99238 Hospital discharge day management, 30 minutes or less 742 728 $36K
99215 Prolong outpt/office vis 327 311 $31K
99460 537 534 $25K
99282 Emergency department visit for the evaluation and management, low to moderate severity 935 924 $23K
99406 2,341 2,199 $22K
93000 1,372 1,352 $19K
99232 Subsequent hospital care, per day, moderate complexity 420 185 $18K
99223 Prolong inpt eval add15 m 215 215 $17K
99222 Initial hospital care, per day, moderate complexity 204 191 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 436 420 $12K
94060 770 768 $12K
G0444 Annual depression screening, 5 to 15 minutes 1,426 1,424 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,725 1,721 $10K
83036 Hemoglobin; glycosylated (A1C) 1,037 1,033 $9K
20610 238 226 $9K
77067 Screening mammography, bilateral, including computer-aided detection 276 276 $8K
94726 806 804 $8K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 487 485 $7K
J1030 Injection, methylprednisolone acetate, 40 mg 1,254 1,205 $7K
99221 138 130 $6K
97530 Therapeutic activities, direct patient contact, each 15 minutes 141 54 $6K
99233 Prolong inpt eval add15 m 81 24 $6K
54150 85 85 $5K
77063 Screening digital breast tomosynthesis, bilateral 276 276 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 620 574 $5K
90732 47 47 $5K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 524 487 $5K
95806 119 119 $4K
90677 15 15 $4K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 249 245 $4K
99239 Hospital discharge day management, more than 30 minutes 48 45 $4K
95811 26 26 $4K
90715 70 70 $3K
94729 461 460 $3K
99442 79 78 $3K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 307 306 $2K
93227 53 52 $2K
31575 28 28 $2K
95810 Polysomnography; sleep staging with 4 or more additional parameters 16 16 $2K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 12 12 $2K
93016 108 107 $2K
59025 Fetal non-stress test 52 45 $2K
93018 107 106 $1K
90674 39 39 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 88 78 $1K
76700 Ultrasound, abdominal, real time with image documentation; complete 14 14 $954.56
99443 17 13 $858.05
71045 Radiologic examination, chest; single view 142 134 $811.78
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 14 $668.95
G0406 Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth 21 13 $558.62
94010 16 16 $432.48
71046 Radiologic examination, chest; 2 views 40 39 $268.01
76642 12 12 $256.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 48 45 $223.36
J1010 Injection, methylprednisolone acetate, 1 mg 46 45 $218.80
99243 16 16 $184.30
81003 66 66 $108.08
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 12 12 $94.11
76641 13 13 $91.64
90460 Immunization administration through 18 years of age via any route, first or only component 12 12 $85.00
81025 25 25 $50.88
81002 92 75 $43.85
92504 12 12 $42.88
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 51 50 $37.23
G8510 Screening for depression is documented as negative, a follow-up plan is not required 4,200 4,022 $33.63
82962 59 51 $4.65
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 13 13 $0.12
97010 133 48 $0.00
G9920 Screening performed and negative 13 13 $0.00