Medicaid Provider Spending

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

ASSOCIATES IN FAMILY PRACTICE PLLC

NPI: 1790008753 · STERLING HEIGHTS, MI 48314 · Family Medicine Physician · NPI assigned 03/04/2010

$1.70M
Total Medicaid Paid
121,800
Total Claims
112,753
Beneficiaries
53
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBAYER, LEONARD (MEMBER)
NPI Enumeration Date03/04/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,566 $207K
2019 19,585 $211K
2020 10,999 $206K
2021 15,607 $259K
2022 17,293 $255K
2023 20,560 $300K
2024 18,190 $262K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,291 15,428 $1.37M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,572 4,284 $263K
99058 3,197 2,948 $18K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 127 126 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,150 1,020 $8K
99051 579 570 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 42 40 $4K
90688 191 191 $3K
36415 Collection of venous blood by venipuncture 1,072 1,041 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 228 227 $2K
93000 271 269 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 200 186 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 27 27 $2K
99490 Ccm add 20min 52 52 $2K
99223 Prolong inpt eval add15 m 14 12 $1K
90673 17 17 $1K
99406 189 184 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 14 14 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 679 660 $1K
81002 561 546 $522.98
J1040 Injection, methylprednisolone acetate, 80 mg 54 51 $474.87
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 65 59 $213.62
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) 111 107 $103.61
G8783 Normal blood pressure reading documented, follow-up not required 4,634 4,373 $0.00
3725F 894 886 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 5,214 4,866 $0.00
1159F 10,716 9,885 $0.00
3077F 1,498 1,442 $0.00
3078F 9,246 8,569 $0.00
G8421 Bmi not documented and no reason is given 173 148 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 292 277 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 5,977 5,481 $0.00
G9796 Patient is currently on a high intensity statin therapy 29 29 $0.00
G0444 Annual depression screening, 5 to 15 minutes 69 68 $0.00
3288F 34 34 $0.00
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 31 30 $0.00
3079F 7,231 6,807 $0.00
3080F 942 904 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 7,860 7,181 $0.00
3044F 800 795 $0.00
3075F 3,516 3,380 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 1,998 1,859 $0.00
G9273 Blood pressure has a systolic value of < 140 and a diastolic value of < 90 11,447 10,640 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 3,300 3,190 $0.00
3074F 12,585 11,503 $0.00
1111F 2,119 1,879 $0.00
3754F 14 13 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 54 52 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 310 291 $0.00
G0008 Administration of influenza virus vaccine 12 12 $0.00
94760 12 12 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 50 49 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 40 39 $0.00