Medicaid Provider Spending

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

PIKE MEDICAL CONSULTANTS PC

NPI: 1770689242 · INDIANAPOLIS, IN 46268 · Critical Care Medicine (Internal Medicine) Physician · NPI assigned 09/15/2006

$10.22M
Total Medicaid Paid
244,074
Total Claims
144,303
Beneficiaries
52
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPIKE, JAMES (PRESIDENT)
NPI Enumeration Date09/15/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,469 $231K
2019 15,437 $332K
2020 24,309 $615K
2021 40,268 $1.35M
2022 52,941 $2.16M
2023 53,008 $3.02M
2024 44,642 $2.50M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99349 30,616 13,242 $2.13M
90791 Psychiatric diagnostic evaluation 12,902 10,290 $1.22M
99348 25,516 10,689 $1.20M
99336 17,241 6,963 $1.05M
99309 Subsequent nursing facility care, per day, low to moderate complexity 59,209 33,723 $1.05M
99344 7,931 6,631 $654K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7,446 5,908 $603K
99335 12,764 4,547 $540K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,076 7,315 $463K
99326 5,329 4,358 $370K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 7,144 5,406 $181K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 7,265 5,458 $135K
99308 Subsequent nursing facility care, per day, straightforward 7,919 5,774 $92K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,508 1,276 $89K
99327 916 707 $74K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,916 3,718 $69K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 880 773 $47K
94004 2,540 882 $43K
99310 Prolong nursin fac eval 15m 1,612 1,121 $41K
99305 2,004 1,749 $41K
99345 Prolong home eval add 15m 363 280 $34K
99306 Prolong nursin fac eval 15m 516 492 $15K
99215 Prolong outpt/office vis 166 144 $14K
99205 Prolong outpt/office vis 91 72 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 800 564 $8K
99304 419 305 $7K
99337 47 39 $6K
99342 128 94 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 530 401 $5K
99334 245 97 $4K
99307 501 377 $4K
81003 1,805 1,388 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 250 177 $2K
99316 80 67 $2K
99350 Prolong home eval add 15m 16 15 $2K
36415 Collection of venous blood by venipuncture 348 281 $866.09
99347 23 22 $746.39
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 21 14 $565.32
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 62 56 $490.72
99318 24 22 $288.50
81025 49 30 $265.19
90756 19 17 $236.95
99072 6,876 5,186 $97.50
90686 14 12 $79.29
90687 15 12 $70.78
99051 4,698 3,454 $39.31
J0696 Injection, ceftriaxone sodium, per 250 mg 91 56 $13.51
99490 Ccm add 20min 33 24 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 40 25 $0.00
99497 15 12 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 40 25 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 15 13 $0.00