Medicaid Provider Spending

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

HAROLD A GILLESPIE II

NPI: 1801086152 · SOMERSET, OH 43783 · Family Medicine Physician · NPI assigned 08/01/2007

$61K
Total Medicaid Paid
2,946
Total Claims
2,511
Beneficiaries
9
Codes Billed
2021-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialGILLESPIE, HAROLD (FAMILY PRACTICE)
NPI Enumeration Date08/01/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 893 $12K
2022 885 $21K
2023 1,168 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 919 809 $41K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 412 373 $15K
99308 Subsequent nursing facility care, per day, straightforward 679 465 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity 48 46 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $243.84
G8422 Bmi not documented, documentation the patient is not eligible for bmi calculation 29 28 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 236 218 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 192 174 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 419 386 $0.00