Medicaid Provider Spending

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

MERCED, PABLO

NPI: 1770633182 · JACKSON, KY 41339 · Family Medicine Physician · NPI assigned 01/11/2007

OIG Excluded Provider · This provider appears on the HHS Office of Inspector General List of Excluded Individuals/Entities. Exclusion date: 04/14/2023.
$3.17M
Total Medicaid Paid
40,426
Total Claims
18,099
Beneficiaries
5
Codes Billed
2018-01
First Month
2023-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,373 $839K
2019 8,984 $505K
2020 7,624 $737K
2021 5,779 $630K
2022 4,444 $429K
2023 222 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2023 Targeted case management; per month 4,892 4,705 $1.68M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,253 7,432 $1.05M
90832 Psychotherapy, 30 minutes with patient 9,059 5,749 $415K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 195 186 $14K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 27 27 $321.15