Medicaid Provider Spending

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

WAYNE PEDIATRICS INC.

NPI: 1760015622 · DETROIT, MI 48201 · Pediatrics Physician · NPI assigned 02/19/2020

$1.51M
Total Medicaid Paid
41,990
Total Claims
40,677
Beneficiaries
67
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGRAY, HERMAN (PRESIDENT)
NPI Enumeration Date02/19/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 405 $12K
2021 3,668 $146K
2022 9,376 $339K
2023 13,621 $486K
2024 14,920 $529K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,053 5,663 $469K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,571 3,326 $235K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,199 2,071 $172K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,431 1,417 $127K
99215 Prolong outpt/office vis 845 812 $94K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 545 541 $56K
90472 Immunization administration, each additional vaccine (list separately) 2,444 2,422 $55K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,649 3,628 $51K
99381 484 479 $45K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,519 2,490 $27K
99383 255 255 $25K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 273 267 $25K
90460 Immunization administration through 18 years of age via any route, first or only component 678 672 $24K
36415 Collection of venous blood by venipuncture 4,591 4,420 $20K
99382 132 130 $13K
99205 Prolong outpt/office vis 82 80 $11K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 99 98 $10K
90474 794 794 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 99 98 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 716 658 $6K
90677 674 673 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 100 100 $4K
92551 547 542 $4K
95251 138 137 $3K
81025 390 374 $3K
83037 314 301 $2K
90686 830 821 $2K
90837 Psychotherapy, 53 minutes with patient 20 12 $2K
96127 496 447 $2K
0001A 39 39 $1K
90651 126 126 $1K
90670 645 643 $991.38
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 16 16 $799.05
90480 20 20 $700.00
82962 268 258 $689.17
96381 36 36 $641.99
99174 141 141 $552.56
0124A 26 26 $533.47
90656 169 169 $410.81
81003 162 153 $267.97
96161 121 100 $193.02
90688 30 30 $191.70
99177 55 55 $160.94
90716 205 205 $136.26
G9002 Coordinated care fee, maintenance rate 31 31 $80.92
90715 29 26 $77.34
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 15 15 $61.98
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) 220 211 $16.76
90671 188 188 $1.39
90633 761 757 $0.00
90700 175 174 $0.00
91300 52 50 $0.00
90707 195 195 $0.00
90461 120 119 $0.00
S9470 Nutritional counseling, dietitian visit 147 146 $0.00
90710 81 81 $0.00
91308 13 13 $0.00
91312 13 13 $0.00
90697 1,116 1,110 $0.00
90680 1,133 1,132 $0.00
90647 279 278 $0.00
90723 245 244 $0.00
91307 40 39 $0.00
91305 33 33 $0.00
91318 12 12 $0.00
90696 50 50 $0.00
90619 15 15 $0.00