Medicaid Provider Spending

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

NATIONAL PEDIATRIC MD PC

NPI: 1740492347 · CORONA, NY 11368 · 261QP2300X

$1.64M
Total Medicaid Paid
772,624
Total Claims
740,882
Beneficiaries
123
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 118,164 $543K
2019 154,037 $347K
2020 123,396 $133K
2021 123,794 $140K
2022 83,351 $86K
2023 91,161 $223K
2024 78,721 $168K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 106,779 93,323 $623K
90460 41,480 41,145 $317K
99393 15,885 15,815 $114K
99394 13,926 13,830 $114K
99441 15,372 13,815 $86K
99392 10,891 10,766 $82K
99401 41,709 41,052 $63K
92587 15,215 15,190 $33K
99214 2,391 2,287 $30K
99442 2,075 1,986 $28K
99395 1,946 1,934 $17K
87880 3,514 3,474 $15K
85018 18,024 17,980 $14K
99212 4,880 4,828 $14K
99391 2,442 2,395 $13K
90461 10,826 10,779 $10K
99173 17,388 17,296 $7K
99381 475 465 $6K
H0001 Alcohol and/or drug assess 15,641 15,583 $5K
0003A 107 107 $4K
99406 877 877 $3K
86580 920 901 $3K
0001A 113 107 $3K
96160 1,358 1,260 $3K
90686 9,763 9,742 $3K
81002 14,008 13,831 $2K
90651 3,939 3,926 $2K
36415 22,905 22,413 $2K
99211 823 800 $2K
90471 173 173 $2K
90619 893 893 $1K
94640 313 303 $1K
90633 1,809 1,804 $1K
90715 1,081 1,077 $1K
90710 1,247 1,239 $1K
S9451 Exercise class 2,286 2,219 $1K
0081A 25 25 $1K
90621 246 246 $957.18
96127 9,649 9,625 $784.81
36416 13,013 12,957 $661.66
90680 931 926 $621.90
99383 40 40 $609.35
0002A 67 67 $600.00
0071A 16 16 $600.00
90656 467 467 $590.00
90620 1,146 1,143 $582.05
0072A 14 14 $560.00
A4930 Sterile, gloves per pair 19,365 18,798 $526.05
90670 1,944 1,933 $325.00
90698 105 105 $321.30
90734 2,009 2,004 $310.00
96110 527 526 $307.98
90688 1,568 1,568 $283.74
99000 15,792 15,387 $248.62
99429 550 541 $233.75
87110 5,574 5,553 $211.85
87804 97 97 $172.40
90677 180 179 $140.00
90716 53 53 $100.00
G0447 Behavior counsel obesity 15m 30,354 30,163 $87.72
87798 291 288 $71.80
90723 279 275 $65.00
87486 358 354 $64.40
90648 513 509 $55.00
90744 13 13 $31.47
90674 622 607 $30.77
A7015 Aerosol mask used w nebulize 267 259 $18.02
A4206 1 cc sterile syringe&needle 653 642 $16.68
J7620 Albuterol ipratrop non-comp 309 300 $12.55
99496 32 32 $10.00
3074F 1,122 1,117 $10.00
3078F 1,103 1,097 $7.50
G8510 Scr dep neg, no plan reqd 12,388 12,210 $7.13
97802 15,866 15,780 $4.07
G9622 No unheal etoh user 11,312 11,271 $2.92
86769 173 173 $1.15
85025 1,022 1,021 $0.92
83655 1,370 1,366 $0.57
G9820 Doc chlam scr test w/follow 85 85 $0.32
G0444 Depression screen annual 476 475 $0.30
G8427 Docrev cur meds by elig clin 29,689 29,426 $0.15
91307 16 15 $0.15
G0008 Admin influenza virus vac 645 645 $0.05
G0270 Mnt subs tx for change dx 1,300 1,271 $0.04
3725F 9,177 8,997 $0.00
3016F 8,434 8,419 $0.00
1159F 2,258 2,241 $0.00
G8752 Sys bp less 140 2,324 2,315 $0.00
90685 421 421 $0.00
3210F 1,369 1,356 $0.00
90672 644 644 $0.00
99203 778 775 $0.00
G8417 Calc bmi abv up param f/u 899 872 $0.00
99446 159 155 $0.00
0073A 61 61 $0.00
91300 72 60 $0.00
3085F 14 14 $0.00
87633 351 347 $0.00
90671 212 212 $0.00
G8783 Bp scrn perf rec interval 18 18 $0.00
G8431 Pos clin depres scrn f/u doc 18 18 $0.00
90473 35 35 $0.00
1000F 8,666 8,644 $0.00
1036F 8,445 8,424 $0.00
3008F 71,722 63,083 $0.00
2010F 42,818 40,429 $0.00
1220F 3,502 3,491 $0.00
1038F 686 632 $0.00
1005F 2,291 2,124 $0.00
3351F 2,117 2,111 $0.00
4037F 4,593 4,581 $0.00
2016F 2,276 2,112 $0.00
G8754 Dias bp less 90 2,321 2,312 $0.00
G8711 Pres antibx on/within 3 day 1,971 1,947 $0.00
90697 45 45 $0.00
G8420 Calc bmi norm parameters 1,099 1,063 $0.00
4015F 731 676 $0.00
1030F 4,556 4,544 $0.00
90696 268 264 $0.00
99443 74 72 $0.00
2001F 14 14 $0.00
87635 49 49 $0.00
99495 26 26 $0.00