Medicaid Provider Spending

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

CODY'S CENTER OF HOPE, DEDICATED PEDIATRIC CARE, PC

NPI: 1740778166 · MEMPHIS, TN 38133 · Pediatrics Physician · NPI assigned 05/01/2018

$560K
Total Medicaid Paid
26,062
Total Claims
18,696
Beneficiaries
42
Codes Billed
2018-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOLTZMAN, LORI (PRESIDENT)
NPI Enumeration Date05/01/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 154 $440.16
2020 482 $8K
2021 7,437 $152K
2022 6,331 $123K
2023 6,485 $141K
2024 5,173 $134K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,082 3,206 $155K
90460 Immunization administration through 18 years of age via any route, first or only component 4,554 2,079 $94K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,064 888 $59K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 886 759 $54K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 730 645 $48K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,984 1,368 $47K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 642 514 $36K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 462 376 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 711 276 $7K
92551 1,133 964 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 633 507 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 99 86 $6K
99441 325 214 $5K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 409 225 $5K
96127 1,216 1,001 $4K
99173 872 711 $4K
36415 Collection of venous blood by venipuncture 1,611 1,296 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 93 72 $2K
96161 147 123 $2K
99442 34 28 $968.10
96160 72 63 $769.44
90677 117 102 $643.95
85025 Blood count; complete (CBC), automated, and automated differential WBC count 103 74 $558.61
80061 Lipid panel 38 33 $466.89
87807 37 29 $365.21
90671 63 51 $246.61
36416 114 77 $169.00
82947 37 33 $164.53
90686 437 344 $104.56
90661 74 69 $79.55
90723 234 194 $70.74
90674 109 101 $36.88
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) 17 14 $34.29
90647 205 171 $17.09
99000 2,312 1,681 $2.05
90670 218 168 $0.04
90633 63 59 $0.01
90681 16 12 $0.00
90662 38 22 $0.00
90461 21 16 $0.00
90685 34 31 $0.00
90710 16 14 $0.00