Medicaid Provider Spending

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

VANGUARD INPATIENT PHYSICIAN PLLC

NPI: 1801339742 · SUGAR LAND, TX 77479 · Geriatric Medicine (Internal Medicine) Physician · NPI assigned 11/27/2016

$421K
Total Medicaid Paid
26,977
Total Claims
16,570
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBAVARE, ARUSHA (OFFICER)
NPI Enumeration Date11/27/2016

Related Entities

Other providers sharing the same authorized official: BAVARE, ARUSHA

ProviderCityStateTotal Paid
THRITY DESAI MD PA HOUSTON TX $2.43M
HOUSTON IN PATIENT PHYSICIAN ASSOCIATES PLLC SUGAR LAND TX $448K
GERIATRIC HOME CARE PHYSICIANS PA SUGAR LAND TX $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 463 $2K
2019 947 $2K
2020 2,736 $26K
2021 5,048 $94K
2022 5,211 $96K
2023 5,781 $69K
2024 6,791 $131K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 6,145 2,397 $133K
99309 Subsequent nursing facility care, per day, low to moderate complexity 8,477 4,683 $99K
99091 284 282 $41K
99308 Subsequent nursing facility care, per day, straightforward 3,675 2,249 $30K
99223 Prolong inpt eval add15 m 363 316 $21K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 287 284 $21K
99239 Hospital discharge day management, more than 30 minutes 335 313 $14K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 375 319 $13K
99222 Initial hospital care, per day, moderate complexity 239 221 $13K
99205 Prolong outpt/office vis 86 84 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 200 187 $6K
99233 Prolong inpt eval add15 m 119 55 $5K
99306 Prolong nursin fac eval 15m 230 201 $4K
99238 Hospital discharge day management, 30 minutes or less 86 79 $3K
99220 37 31 $2K
99217 43 41 $2K
99349 119 90 $2K
99350 Prolong home eval add 15m 54 33 $999.42
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 99 85 $918.50
99219 13 13 $800.80
99490 Ccm add 20min 671 482 $778.89
99310 Prolong nursin fac eval 15m 53 39 $506.92
99497 1,562 1,392 $335.17
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) 176 148 $16.75
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,311 1,846 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 212 193 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 196 117 $0.00
G0444 Annual depression screening, 5 to 15 minutes 12 12 $0.00
3078F 128 91 $0.00
3077F 13 13 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 200 122 $0.00
3008F 18 12 $0.00
3074F 103 86 $0.00
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 31 30 $0.00
3079F 13 12 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 12 12 $0.00