Medicaid Provider Spending

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

FAMILIA, CARMEN

NPI: 1770807992 · BRONX, NY 10456 · Student in an Organized Health Care Education/Training Program · NPI assigned 03/17/2010

$116K
Total Medicaid Paid
8,787
Total Claims
8,148
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 327 $5K
2019 224 $13K
2020 963 $14K
2021 5,479 $42K
2022 779 $12K
2023 834 $17K
2024 181 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,736 1,713 $88K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 343 338 $7K
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 275 271 $7K
G0444 Annual depression screening, 5 to 15 minutes 370 366 $5K
99397 91 90 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 136 136 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 14 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 53 52 $545.33
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 159 157 $504.70
3079F 214 213 $445.00
3074F 242 241 $442.50
1159F 277 274 $55.00
1160F 277 274 $55.00
99442 17 17 $23.48
H0001 Alcohol and/or drug assessment 286 283 $22.50
97802 349 345 $16.59
G8510 Screening for depression is documented as negative, a follow-up plan is not required 244 242 $15.60
1036F 254 252 $0.00
3008F 287 282 $0.00
G9275 Documentation that patient is a current non-tobacco user 285 282 $0.00
1000F 235 232 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 91 91 $0.00
3044F 46 46 $0.00
99429 237 210 $0.00
3048F 12 12 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 233 231 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 32 32 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 18 18 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 271 268 $0.00
3016F 270 267 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 210 208 $0.00
3725F 268 265 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 245 243 $0.00
90658 19 19 $0.00
99080 540 14 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 57 57 $0.00
4013F 74 73 $0.00
3078F 20 20 $0.00