Medicaid Provider Spending

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

PIONEER VALLEY UROLOGY, PC

NPI: 1750315982 · SPRINGFIELD, MA 01107 · Urology Physician · NPI assigned 07/11/2006

$1.73M
Total Medicaid Paid
83,661
Total Claims
81,229
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGELLOCK, SALLY (CREDENTIALING)
NPI Enumeration Date07/11/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,747 $250K
2019 12,182 $208K
2020 8,234 $186K
2021 9,694 $212K
2022 13,801 $376K
2023 13,635 $286K
2024 14,368 $212K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20,417 19,956 $824K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,883 3,856 $324K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,947 10,736 $305K
51798 13,619 13,388 $76K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 289 276 $41K
81003 18,986 18,339 $18K
87481 288 275 $17K
84153 2,694 2,626 $16K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 287 274 $14K
51784 673 463 $13K
88112 1,005 957 $12K
51797 429 276 $10K
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) 3,158 3,119 $9K
76770 267 264 $9K
87641 274 263 $7K
88120 40 39 $6K
52000 79 79 $5K
87640 287 274 $4K
87653 287 274 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 287 274 $4K
36415 Collection of venous blood by venipuncture 4,187 4,056 $2K
51728 32 24 $2K
99223 Prolong inpt eval add15 m 13 13 $1K
55700 12 12 $1K
87500 127 121 $1K
51705 25 25 $896.14
52287 13 13 $754.91
99233 Prolong inpt eval add15 m 16 12 $712.37
51741 194 142 $396.00
76775 27 27 $391.91
76872 20 12 $368.50
ATP02 163 158 $295.35
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 13 $192.98
82565 230 221 $166.28
84520 216 207 $123.37
76857 25 25 $98.15
80048 Basic metabolic panel (calcium, ionized) 12 12 $53.52
ATP08 26 26 $43.65
80051 64 58 $23.15
82947 50 44 $12.49