Medicaid Provider Spending

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

SALLAMME, ANTOINETTE

NPI: 1790843993 · EVERGREEN PK, IL 60805 · Pediatrics Physician · NPI assigned 12/04/2006

$579K
Total Medicaid Paid
15,676
Total Claims
13,595
Beneficiary Records
27
Codes Billed
2021-06
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 2,358 $79K
2022 5,099 $178K
2023 4,373 $172K
2024 3,846 $150K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,665 1,451 $127K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,665 1,365 $115K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,540 1,442 $75K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 768 714 $58K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 578 496 $47K
90677 341 312 $23K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 840 786 $20K
96110 Developmental screening, with scoring and documentation, per standardized instrument 825 736 $17K
90723 1,076 877 $15K
90647 996 832 $15K
90670 940 771 $14K
90680 821 666 $12K
90633 612 508 $9K
83655 772 679 $9K
90686 402 376 $5K
96127 256 222 $4K
85018 902 795 $2K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 13 13 $2K
90734 129 108 $2K
90651 128 91 $2K
90656 84 81 $1K
90707 81 79 $1K
90620 64 49 $1K
90716 68 66 $1K
90700 54 42 $909.06
90710 43 25 $753.91
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 13 13 $117.26