Medicaid Provider Spending

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

JASON HALEGOUA, M.D., P.C.

NPI: 1750619581 · STONY BROOK, NY 11790 · Pediatrics Physician · NPI assigned 12/07/2009

$6K
Total Medicaid Paid
229
Total Claims
222
Beneficiaries
7
Codes Billed
2024-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHALEGOUA, JASON (PRESIDENT)
NPI Enumeration Date12/07/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 229 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32 31 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 16 16 $1K
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) 46 40 $683.00
92551 44 44 $405.10
90460 Immunization administration through 18 years of age via any route, first or only component 19 19 $389.24
96127 34 34 $115.44
99173 38 38 $0.00