Medicaid Provider Spending

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

1770659732

NPI: 1770659732

Deactivated NPI · This NPI was deactivated on 12/20/2023.
$209K
Total Medicaid Paid
25,024
Total Claims
19,339
Beneficiaries
49
Codes Billed
2018-01
First Month
2023-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,009 $86K
2019 12,273 $83K
2020 2,561 $38K
2021 91 $2K
2022 52 $0.00
2023 38 $63.61

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,061 3,019 $112K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,603 2,112 $67K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,540 1,271 $12K
3008F 1,520 1,149 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 620 497 $2K
J1030 Injection, methylprednisolone acetate, 40 mg 569 489 $2K
1160F 1,469 1,123 $1K
1159F 1,463 1,116 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 201 93 $1K
3074F 980 746 $1K
3078F 898 664 $982.40
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 45 40 $904.99
1125F 1,189 897 $840.00
36415 Collection of venous blood by venipuncture 1,206 994 $804.60
90674 67 53 $513.56
3079F 303 250 $450.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 59 44 $335.40
3077F 198 144 $330.00
82948 381 292 $317.50
81001 274 221 $304.61
96110 Developmental screening, with scoring and documentation, per standardized instrument 35 29 $294.53
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 48 40 $279.64
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 15 15 $262.15
92551 35 29 $229.24
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 231 188 $213.91
90688 29 27 $200.91
3075F 72 54 $170.00
1126F 132 106 $150.00
81025 55 37 $136.94
3080F 53 42 $130.00
99173 54 44 $95.38
J1885 Injection, ketorolac tromethamine, per 15 mg 91 79 $88.21
J1020 Injection, methylprednisolone acetate, 20 mg 25 24 $63.20
80305 16 13 $57.64
83036 Hemoglobin; glycosylated (A1C) 135 110 $33.09
J0696 Injection, ceftriaxone sodium, per 250 mg 34 34 $24.58
G0008 Administration of influenza virus vaccine 12 12 $15.42
G8754 Most recent diastolic blood pressure < 90 mmhg 1,247 923 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 14 12 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 140 101 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 42 31 $0.00
80502 16 14 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 147 108 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 397 303 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 432 334 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,171 874 $0.00
G8506 Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 17 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 589 455 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 94 75 $0.00