Medicaid Provider Spending

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

STUART LERNER, M.D. LLC

NPI: 1790032340 · KAILUA, HI 96734 · Family Medicine Physician · NPI assigned 08/13/2012

$915K
Total Medicaid Paid
14,937
Total Claims
11,998
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCLOSKEY, MARYANNE (MANAGER)
NPI Enumeration Date08/13/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,721 $142K
2019 2,298 $131K
2020 1,886 $106K
2021 1,736 $90K
2022 1,966 $133K
2023 1,952 $143K
2024 2,378 $171K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,705 9,257 $791K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,803 1,549 $92K
99215 Prolong outpt/office vis 213 201 $18K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 105 98 $8K
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) 335 278 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 312 228 $3K
99072 36 27 $339.69
80305 13 12 $151.86
99497 14 12 $120.16
G0444 Annual depression screening, 5 to 15 minutes 18 13 $18.14
3079F 105 89 $0.07
3075F 86 73 $0.03
1159F 17 12 $0.02
1160F 17 12 $0.02
1170F 19 13 $0.01
1126F 17 12 $0.01
3008F 78 75 $0.00
G9459 Currently a tobacco non-user 32 25 $0.00
S9999 Sales tax 12 12 $0.00