Medicaid Provider Spending

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

MA BO INC

NPI: 1740461219 · SALT LAKE CITY, UT 84111 · Family Medicine Physician · NPI assigned 11/26/2007

$158K
Total Medicaid Paid
15,287
Total Claims
13,411
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCACCIATORE, CAITLIN (PRACTICE MANAGER)
NPI Enumeration Date11/26/2007

Related Entities

Other providers sharing the same authorized official: CACCIATORE, CAITLIN

ProviderCityStateTotal Paid
MA BO INC SALT LAKE CITY UT $970K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,622 $12K
2019 1,475 $13K
2020 1,070 $11K
2021 1,070 $20K
2022 2,172 $35K
2023 1,276 $44K
2024 602 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99336 2,387 1,836 $59K
99349 1,063 878 $47K
99350 Prolong home eval add 15m 330 295 $20K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 2,769 2,119 $15K
99490 Ccm add 20min 854 650 $7K
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 674 497 $4K
99337 85 52 $2K
99348 50 49 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13 12 $1K
99335 21 15 $143.01
90686 17 17 $114.56
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 204 203 $0.00
3725F 762 760 $0.00
1160F 832 827 $0.00
1159F 811 806 $0.00
3078F 289 288 $0.00
3077F 91 90 $0.00
1158F 152 151 $0.00
4274F 12 12 $0.00
1126F 285 284 $0.00
99343 109 109 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 504 503 $0.00
3074F 268 266 $0.00
1125F 360 359 $0.00
3008F 786 782 $0.00
4010F 123 123 $0.00
1170F 369 367 $0.00
3080F 38 38 $0.00
99341 604 603 $0.00
1000F 43 42 $0.00
1157F 102 102 $0.00
3079F 102 101 $0.00
G0008 Administration of influenza virus vaccine 13 13 $0.00
1030F 48 47 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 29 28 $0.00
3075F 62 62 $0.00
1036F 26 25 $0.00