Medicaid Provider Spending

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

SAN JOSE MOSCATI MEDICAL HOME

NPI: 1801420104 · EL PASO, TX 79925 · Family Medicine Physician · NPI assigned 02/25/2020

$11K
Total Medicaid Paid
3,149
Total Claims
2,441
Beneficiaries
14
Codes Billed
2020-12
First Month
2023-02
Last Month

Provider Details

Authorized OfficialMANQUERO BUTLER, MARTHA (ORGANIZER)
NPI Enumeration Date02/25/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 13 $0.00
2021 1,235 $3K
2022 1,782 $7K
2023 119 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99349 208 205 $6K
99358 Prolong nursin fac eval 15m 348 340 $3K
99350 Prolong home eval add 15m 13 12 $1K
99422 643 210 $232.84
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 52 52 $102.78
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 423 423 $81.35
99493 95 95 $32.76
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 38 36 $14.30
G2010 Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment 104 81 $11.82
99484 159 159 $1.66
99457 339 337 $0.00
99458 339 337 $0.00
99454 24 24 $0.00
99423 364 130 $0.00