Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › FORT WORTH › ACCLAIM PHYSICIAN GROUP, INC

ACCLAIM PHYSICIAN GROUP, INC

NPI: 1780076562 · FORT WORTH, TX 76104 · Internal Medicine Physician · NPI assigned 03/03/2015

$30.83M
Total Medicaid Paid
854,726
Total Claims
757,709
Beneficiaries
142
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEDWARDS, ASHLEY (PROVIDER ENROLLMENT)
NPI Enumeration Date03/03/2015

Related Entities

Other providers sharing the same authorized official: EDWARDS, ASHLEY

ProviderCityStateTotal Paid
COMMUNITY EMERGENCY CORPS BALLSTON SPA NY $757K
MINDRIGHT HEALTH NEWARK NJ $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 23,100 $806K
2019 19,790 $744K
2020 50,502 $1.52M
2021 212,422 $6.02M
2022 179,673 $7.87M
2023 205,679 $8.20M
2024 163,560 $5.66M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 139,641 131,969 $5.83M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 157,366 143,083 $5.02M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 53,023 48,745 $4.13M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 24,924 24,877 $2.01M
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 2,440 2,402 $1.42M
99238 Hospital discharge day management, 30 minutes or less 19,904 19,609 $1.12M
99460 13,967 13,915 $1.11M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 11,690 11,670 $997K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6,355 6,344 $589K
99479 Subsequent intensive care, per day, very low birth weight infant 4,210 2,066 $532K
99233 Prolong inpt eval add15 m 8,032 2,956 $481K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 14,684 14,294 $474K
99232 Subsequent hospital care, per day, moderate complexity 12,949 4,749 $453K
76819 Fetal biophysical profile; without non-stress testing 14,976 10,516 $419K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 17,507 13,176 $410K
99284 Emergency department visit for the evaluation and management, high severity 5,544 5,398 $399K
99381 4,599 4,596 $385K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 17,072 15,312 $366K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 8,835 8,756 $362K
99462 8,920 8,059 $343K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 4,233 4,199 $296K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 61,955 50,583 $283K
99464 3,199 3,190 $266K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 6,537 6,488 $259K
99215 Prolong outpt/office vis 3,975 3,649 $247K
99223 Prolong inpt eval add15 m 2,085 2,002 $246K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,482 2,438 $205K
96110 Developmental screening, with scoring and documentation, per standardized instrument 22,455 17,141 $188K
59025 Fetal non-stress test 8,257 6,031 $175K
59430 2,342 2,272 $171K
99480 Subsequent intensive care, per day, low birth weight infant 1,199 751 $137K
99220 1,081 1,051 $108K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,851 1,832 $98K
76801 2,653 2,581 $95K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 601 342 $83K
99283 Emergency department visit for the evaluation and management, moderate severity 2,260 2,194 $76K
59514 112 109 $75K
99222 Initial hospital care, per day, moderate complexity 881 862 $70K
99244 Office or other outpatient consultation, moderate to high complexity 599 573 $65K
76820 3,568 2,288 $61K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,886 1,677 $53K
54150 580 578 $46K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 4,396 4,211 $41K
77427 325 174 $39K
99383 427 425 $39K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,384 1,244 $38K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,570 1,382 $37K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 558 544 $36K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,326 1,275 $34K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 58 40 $24K
99219 312 307 $23K
76818 529 423 $21K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 582 570 $20K
99254 174 165 $19K
76813 435 432 $18K
99384 185 184 $18K
99217 416 399 $17K
92557 832 820 $16K
95810 Polysomnography; sleep staging with 4 or more additional parameters 178 176 $15K
99239 Hospital discharge day management, more than 30 minutes 198 195 $14K
95816 322 300 $13K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 273 269 $12K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 172 170 $12K
99382 125 123 $11K
99468 13 13 $11K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 159 157 $9K
90935 Hemodialysis procedure with single evaluation by a physician 257 114 $9K
95811 97 97 $8K
H0049 Alcohol and/or drug screening 1,102 988 $8K
92567 852 836 $7K
20610 165 152 $7K
99226 191 173 $6K
95886 125 123 $6K
77300 53 49 $6K
96160 4,596 4,566 $5K
99443 328 327 $5K
90791 Psychiatric diagnostic evaluation 40 40 $5K
94726 484 483 $4K
64493 56 48 $4K
95885 162 156 $4K
64615 38 38 $4K
77263 26 25 $3K
94729 567 566 $3K
93016 245 244 $3K
93018 325 322 $3K
77334 33 26 $3K
93295 107 102 $3K
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy 220 29 $2K
99205 Prolong outpt/office vis 29 29 $2K
99243 26 26 $2K
94010 379 378 $2K
64494 61 48 $2K
99442 172 165 $2K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 12 12 $2K
95874 131 129 $2K
11721 66 66 $2K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 91 90 $2K
77338 12 12 $1K
93880 75 74 $1K
90837 Psychotherapy, 53 minutes with patient 13 13 $1K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 21 12 $1K
93297 80 78 $1K
95911 14 13 $1K
73630 35 25 $854.96
90945 23 12 $782.74
99221 12 12 $756.54
99078 3,268 2,465 $589.85
95819 17 17 $584.48
99080 13 13 $550.00
93290 39 39 $534.42
92504 131 129 $466.56
99406 47 42 $460.20
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 47 46 $376.86
99497 112 93 $310.48
96161 1,051 1,050 $299.09
94060 40 39 $258.64
93925 15 14 $246.96
99225 14 12 $151.85
99349 99 95 $149.46
99308 Subsequent nursing facility care, per day, straightforward 17 12 $133.52
93294 16 15 $119.78
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 15 14 $89.73
99441 13 13 $87.75
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 31 29 $32.18
3044F 43,409 35,730 $20.01
3008F 88,172 78,147 $0.04
3078F 3,868 3,661 $0.00
2022F 989 960 $0.00
3077F 29 26 $0.00
1159F 13 13 $0.00
1160F 13 13 $0.00
99358 Prolong nursin fac eval 15m 13 13 $0.00
3074F 3,467 3,171 $0.00
1111F 1,071 886 $0.00
1126F 72 72 $0.00
99024 222 195 $0.00
3079F 367 335 $0.00
3075F 85 83 $0.00
95806 185 184 $0.00
3061F 39 38 $0.00
1220F 13 13 $0.00
36415 Collection of venous blood by venipuncture 15 13 $0.00