Medicaid Provider Spending

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

SOSA, ALAIN

NPI: 1770503393 · ELMHURST, NY 11373 · Internal Medicine Physician · NPI assigned 07/19/2006

$143K
Total Medicaid Paid
9,394
Total Claims
8,863
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 572 $11K
2019 1,271 $20K
2020 1,336 $23K
2021 611 $15K
2022 3,277 $35K
2023 2,189 $31K
2024 138 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,035 1,802 $71K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 969 915 $53K
93000 546 524 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 53 53 $5K
H0001 Alcohol and/or drug assessment 458 436 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 22 22 $2K
94010 31 31 $858.76
99490 Ccm add 20min 155 155 $756.20
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 467 437 $663.03
3075F 250 246 $375.00
3079F 251 248 $375.00
1000F 335 326 $100.00
3725F 469 442 $60.00
1160F 312 305 $60.00
1126F 308 301 $60.00
G8484 Influenza immunization was not administered, reason not given 47 46 $30.00
36415 Collection of venous blood by venipuncture 112 110 $27.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 284 276 $21.00
G8783 Normal blood pressure reading documented, follow-up not required 182 180 $21.00
1159F 106 104 $20.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 392 370 $20.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 131 129 $10.50
G8420 Bmi is documented within normal parameters and no follow-up plan is required 162 160 $10.00
A4556 Electrodes, (e.g., apnea monitor), per pair 82 82 $9.71
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 13 13 $0.10
G9903 Patient screened for tobacco use and identified as a tobacco non-user 12 12 $0.01
1036F 375 353 $0.01
G9227 Functional outcome assessment documented, care plan not documented, documentation the patient is not eligible for a care plan at the time of the encounter 43 42 $0.01
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 39 38 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 33 33 $0.00
3078F 43 39 $0.00
99429 456 420 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 46 45 $0.00
3008F 21 19 $0.00
99000 82 82 $0.00
3074F 28 24 $0.00
3017F 44 43 $0.00