Medicaid Provider Spending

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

1110 PENNSYLVANIA AVENUE MEDICAL PLLC

NPI: 1730638115 · BROOKLYN, NY 11207 · Urgent Care Clinic/Center · NPI assigned 09/27/2016

$576K
Total Medicaid Paid
11,091
Total Claims
9,978
Beneficiary Records
12
Codes Billed
2018-04
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSTOREY, JACQUELINE (PHYSICIAN)
NPI Enumeration Date09/27/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 639 $34K
2019 1,142 $60K
2020 1,332 $68K
2021 2,160 $126K
2022 2,275 $114K
2023 2,153 $102K
2024 1,390 $72K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
S9083 Global fee urgent care centers 5,886 5,126 $327K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,556 2,324 $146K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 750 664 $47K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 471 471 $31K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 89 89 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 613 597 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 70 70 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 77 72 $4K
99215 Prolong outpt/office vis 61 58 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 290 286 $2K
81003 215 208 $415.47
81025 13 13 $21.42