Medicaid Provider Spending

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

NESMITH, TERRY

NPI: 1780026385 · CRESSON, PA 16630 · Registered Nurse · NPI assigned 07/24/2013

$1.41M
Total Medicaid Paid
12,072
Total Claims
10,215
Beneficiaries
13
Codes Billed
2021-06
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 787 $72K
2022 2,741 $356K
2023 3,959 $488K
2024 4,585 $493K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9012 Other specified case management service not elsewhere classified 3,688 3,688 $1.07M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,160 3,947 $272K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,336 1,152 $50K
80305 1,663 1,238 $19K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 13 $181.61
4322F 18 15 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 55 46 $0.00
G9923 Safety concerns screen provided and negative 17 14 $0.00
G9916 Functional status performed once in the last 12 months 37 31 $0.00
G9512 Individual had a pdc of 0.8 or greater 17 14 $0.00
1123F 37 31 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 17 14 $0.00
G8734 Elder maltreatment screen documented as negative, follow-up is not required 14 12 $0.00