Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Vadim Baram MD, INC.

Vadim Baram MD, INC. was paid $2.60M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 32% of everything it billed.

33Billing provider infoVADIM BARAM MD, INC.
SAINT LOUIS, MO 63141
33aNPI1770743189assigned 06/10/2008
28Total paid$2.60M
24GClaims89,897
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Geriatric Psychiatry Physician providers in Missouri

Rank by total paid#1 of 5
Median peer was paid$3K
This provider vs. median1,022×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20189,729$271K
201911,223$292K
202013,234$362K
202116,725$497K
202213,980$472K
202312,316$345K
2024incomplete12,690$362K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 32% 20,247 9,646 $840K
99308 Subsequent nursing facility care, per day, straightforward 30% 37,607 34,040 $768K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.9% 7,690 6,498 $179K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6.0% 3,801 3,178 $157K
99223 Prolong inpt eval add15 m 4.1% 1,325 1,253 $106K
99335 3.9% 4,223 3,768 $102K
99238 Hospital discharge day management, 30 minutes or less 3.5% 3,099 2,861 $92K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 3.3% 3,089 2,584 $86K
99348 2.9% 2,940 2,591 $76K
99253 2.2% 912 843 $58K
99305 2.0% 1,408 1,288 $51K
99222 Initial hospital care, per day, moderate complexity 1.7% 1,591 1,405 $45K
12 more codes
99221 <1% 734 $22K
99307 <1% 902 $10K
90870 <1% 55 $3K
99325 <1% 62 $2K
90792 Psychiatric diagnostic evaluation with medical services <1% 32 $2K
99334 <1% 54 $963.36
99342 <1% 21 $675.95
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 17 $602.17
90837 Psychotherapy session, about an hour <1% 30 $534.72
99306 Prolong nursin fac eval 15m <1% 14 $342.96
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 13 $146.83
99358 Prolong nursin fac eval 15m <1% 31 $77.01

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialZINN, CAREN (OFFICE MANAGER)