Medicaid Provider Spending

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

JACK FATIHA MD PC

NPI: 1770596975 · BROOKLYN, NY 11223 · Health Service Clinic/Center · NPI assigned 08/15/2006

$1.17M
Total Medicaid Paid
35,173
Total Claims
30,027
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFATIHA, JACK (OWNER)
NPI Enumeration Date08/15/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,058 $55K
2019 1,415 $67K
2020 4,291 $158K
2021 6,827 $222K
2022 15,615 $348K
2023 3,195 $186K
2024 2,772 $137K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,211 7,168 $567K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,945 1,820 $183K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,481 2,468 $81K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,975 2,719 $40K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,541 1,826 $39K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,376 3,110 $38K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 395 395 $35K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 330 330 $31K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 971 804 $31K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 468 468 $30K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 3,103 2,859 $21K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 473 463 $12K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 613 585 $12K
99401 526 501 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,976 1,844 $9K
93000 607 604 $8K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 71 68 $5K
90674 182 182 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 265 265 $3K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 244 227 $2K
36410 194 181 $2K
99443 18 18 $2K
95911 22 12 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 133 101 $2K
95886 22 12 $1K
36415 Collection of venous blood by venipuncture 739 709 $1K
90688 47 47 $756.38
90756 21 21 $574.90
99490 Ccm add 20min 13 12 $461.68
90656 12 12 $250.47
G0444 Annual depression screening, 5 to 15 minutes 151 151 $181.04
99050 20 17 $117.00
G9820 Documentation of a chlamydia screening test with proper follow-up 28 28 $0.00