Medicaid Provider Spending

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

NATHALIA IDELEVITCH MEDICAL OFFICE PC

NPI: 1740423508 · BROOKLYN, NY 11235 · Geriatric Medicine (Family Medicine) Physician · NPI assigned 04/09/2009

$169K
Total Medicaid Paid
4,327
Total Claims
3,585
Beneficiaries
15
Codes Billed
2020-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialIDELEVITCH, NATHALIA (MEDICAL DIRECTOR)
NPI Enumeration Date04/09/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 192 $11K
2021 879 $37K
2022 1,157 $42K
2023 1,318 $50K
2024 781 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,989 1,604 $127K
99401 1,179 951 $22K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 166 149 $15K
93000 355 348 $3K
94010 16 16 $375.09
G0442 Annual alcohol misuse screening, 5 to 15 minutes 43 42 $261.41
G0444 Annual depression screening, 5 to 15 minutes 45 44 $245.90
99406 111 92 $81.71
99490 Ccm add 20min 12 12 $70.81
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $60.00
96127 13 12 $36.72
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 13 13 $29.69
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) 18 13 $17.26
G8420 Bmi is documented within normal parameters and no follow-up plan is required 30 26 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 325 251 $0.00