Medicaid Provider Spending

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

JAIN, PRITI

NPI: 1780607333 · HICKSVILLE, NY 11801 · Internal Medicine Physician · NPI assigned 07/25/2006

$528K
Total Medicaid Paid
22,409
Total Claims
19,126
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,677 $33K
2019 1,538 $45K
2020 4,923 $82K
2021 8,240 $232K
2022 2,974 $58K
2023 1,998 $53K
2024 1,059 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,414 2,403 $153K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,681 3,093 $141K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,554 2,942 $101K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,391 1,387 $61K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,143 2,712 $52K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 100 99 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 210 206 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 81 74 $3K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 98 97 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 46 41 $1K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 19 12 $713.15
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 422 200 $367.20
99051 48 45 $325.22
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 74 72 $285.94
0012A 17 15 $228.38
0011A 39 39 $132.56
96127 204 193 $131.27
99072 918 829 $105.00
1111F 729 635 $75.00
G0444 Annual depression screening, 5 to 15 minutes 534 497 $55.46
36415 Collection of venous blood by venipuncture 971 938 $26.69
G8420 Bmi is documented within normal parameters and no follow-up plan is required 350 323 $0.00
1126F 40 39 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 495 452 $0.00
99000 509 475 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 79 71 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 72 66 $0.00
1036F 60 52 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 28 28 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 339 289 $0.00
99080 1,163 279 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 118 99 $0.00
1159F 77 71 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 222 204 $0.00
81002 17 17 $0.00
96160 23 18 $0.00
1160F 76 70 $0.00
1124F 14 14 $0.00
99408 17 14 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 17 16 $0.00