Medicaid Provider Spending

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

FIVE STAR MEDICAL OFFICE PC

NPI: 1760731459 · FOREST HILLS, NY 11375 · Internal Medicine Physician · NPI assigned 09/10/2012

$6K
Total Medicaid Paid
764
Total Claims
750
Beneficiaries
13
Codes Billed
2023-04
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDAYE, CELESTE (VP REVENUE MANAGEMENT)
NPI Enumeration Date09/10/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 148 $2K
2024 616 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99349 134 128 $2K
99490 Ccm add 20min 124 124 $1K
99489 Ccm add 20min 32 32 $1K
99487 Ccm add 20min 32 32 $783.23
99439 59 59 $651.98
1159F 98 95 $171.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 14 14 $158.91
G8432 Depression screening not documented, reason not given 47 45 $113.70
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) 16 15 $84.21
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 105 104 $55.54
G8754 Most recent diastolic blood pressure < 90 mmhg 25 25 $31.44
1160F 51 50 $13.92
3078F 27 27 $8.90