Medicaid Provider Spending

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

FOUR SEASONS PEDIATRICS, LLC

NPI: 1750387817 · CLIFTON PARK, NY 12065 · 208000000X

$564K
Total Medicaid Paid
16,633
Total Claims
16,126
Beneficiaries
39
Codes Billed
2019-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 522 $19K
2020 2,522 $50K
2021 4,116 $118K
2022 3,632 $140K
2023 3,087 $117K
2024 2,754 $119K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 3,455 3,309 $226K
90460 2,681 2,639 $127K
87636 579 571 $66K
99214 491 471 $45K
90834 429 285 $32K
99393 249 249 $20K
99392 143 143 $12K
90471 524 521 $10K
92551 614 614 $5K
99394 53 53 $5K
96127 493 473 $2K
99215 Prolong outpt/office vis 14 14 $2K
87651 62 62 $2K
99391 16 12 $1K
0072A 32 32 $1K
90461 38 38 $1K
0071A 28 28 $1K
87635 27 27 $1K
G8510 Scr dep neg, no plan reqd 81 81 $964.15
G2211 Complex e/m visit add on 141 140 $762.84
99212 15 15 $614.01
90686 769 768 $261.25
90472 12 12 $226.65
90473 13 13 $214.44
S8301 Infect control supplies nos 941 905 $185.48
96160 98 98 $124.12
36416 155 155 $32.47
99173 1,245 1,245 $13.32
99499 135 135 $9.17
3008F 525 524 $0.00
99174 14 14 $0.00
90656 13 13 $0.00
99072 1,436 1,361 $0.00
1159F 478 475 $0.00
1160F 478 475 $0.00
90670 25 25 $0.00
99080 44 44 $0.00
90672 46 46 $0.00
G9622 No unheal etoh user 41 41 $0.00