Medicaid Provider Spending

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

MIDDLETOWN MEDICAL PC

NPI: 1790227536 · MIDDLETOWN, NY 10940 · Urgent Care Clinic/Center · NPI assigned 11/10/2016

$440K
Total Medicaid Paid
7,615
Total Claims
6,901
Beneficiaries
50
Codes Billed
2018-11
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPHILLIPS, MELISSA (EXECUTIVE ASSIST CEO)
NPI Enumeration Date11/10/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 42 $3K
2019 537 $29K
2020 936 $56K
2021 1,215 $111K
2022 1,617 $113K
2023 2,103 $80K
2024 1,165 $48K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,668 2,394 $330K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 293 278 $31K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 140 140 $14K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 233 112 $10K
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 104 98 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 49 49 $6K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 190 186 $6K
87634 65 63 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 314 144 $4K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 114 114 $3K
99441 38 38 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 17 17 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 154 138 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 14 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 395 388 $2K
99051 166 163 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 169 164 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 156 154 $1K
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 51 48 $1K
92551 96 95 $1K
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) 54 38 $727.88
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 13 13 $647.01
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 29 28 $579.93
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 15 12 $386.62
83970 14 14 $376.38
85025 Blood count; complete (CBC), automated, and automated differential WBC count 55 54 $327.58
82607 27 27 $304.32
96127 54 54 $299.76
83036 Hemoglobin; glycosylated (A1C) 38 38 $282.49
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 23 12 $264.48
80061 Lipid panel 26 26 $246.82
99050 15 13 $190.35
83550 25 25 $167.80
82746 14 14 $134.04
80053 Comprehensive metabolic panel 13 13 $133.12
83540 25 25 $124.36
82728 12 12 $124.26
90461 17 17 $75.00
82043 14 14 $60.58
82044 12 12 $55.57
82570 13 13 $53.20
36415 Collection of venous blood by venipuncture 156 147 $33.47
G8510 Screening for depression is documented as negative, a follow-up plan is not required 19 19 $0.19
2001F 99 97 $0.00
3008F 227 221 $0.00
90688 12 12 $0.00
1160F 543 526 $0.00
1159F 556 539 $0.00
99173 54 54 $0.00
3210F 15 15 $0.00