Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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1801866538

1801866538 was paid $5.96M by Medicaid between Jan 2018 and May 2022, across 76 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.

33Billing provider info1801866538
33aNPI1801866538
33bProvider type—
28Total paid$5.96M
24GClaims118,379
24DCodes billed76
24AFirst – last monthJan 2018 – May 2022
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201833,066$1.72M
201918,113$979K
202032,673$1.60M
202128,233$1.30M
20226,294$363K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 27% 23,653 21,545 $1.59M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 18,994 14,962 $919K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 12% 14,217 6,020 $687K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7.6% 4,268 3,935 $451K
99238 Hospital discharge day management, 30 minutes or less 2.6% 2,927 2,693 $154K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2.6% 1,374 976 $154K
99222 Initial hospital care, per day, moderate complexity 2.3% 1,606 1,494 $137K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 2.0% 2,060 1,399 $120K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1.9% 3,490 2,820 $111K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1.8% 3,685 2,338 $107K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1.7% 2,819 2,517 $104K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.7% 1,877 1,706 $103K
64 more codes
99219 1.7% 1,139 $101K
90853 Group psychotherapy (other than of a multiple-family group) 1.5% 4,683 $91K
90837 Psychotherapy session, about an hour 1.4% 1,092 $84K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1.3% 7,479 $75K
59025 Fetal non-stress test 1.1% 2,403 $66K
76825 1.1% 1,073 $65K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 75 $55K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,283 $53K
99215 Doctor's office visit, returning patient (complex) <1% 557 $52K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 568 $45K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 633 $44K
99217 <1% 699 $41K
99235 <1% 323 $40K
83036 Hemoglobin; glycosylated (A1C) <1% 1,825 $32K
93000 <1% 1,045 $32K
90792 Psychiatric diagnostic evaluation with medical services <1% 252 $31K
76827 <1% 1,060 $31K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 243 $28K
76820 <1% 988 $25K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 188 $25K
76819 Fetal biophysical profile; without non-stress testing <1% 733 $25K
99221 <1% 441 $24K
59514 <1% 35 $24K
81003 <1% 1,483 $22K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 340 $19K
76801 <1% 408 $17K
93976 <1% 477 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 554 $15K
99460 <1% 245 $15K
93325 <1% 1,051 $15K
94761 <1% 472 $14K
94010 <1% 457 $14K
80305 <1% 191 $9K
54150 <1% 61 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 176 $6K
90832 Psychotherapy session, about 30 minutes <1% 101 $6K
93295 <1% 229 $6K
94060 <1% 101 $6K
99201 <1% 102 $5K
99225 <1% 82 $5K
90686 <1% 140 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 223 $4K
94760 <1% 559 $4K
99305 <1% 136 $3K
76830 Ultrasound, transvaginal <1% 75 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 76 $3K
99205 Prolong outpt/office vis <1% 13 $2K
99223 Prolong inpt eval add15 m <1% 21 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 29 $2K
93294 <1% 133 $2K
76818 <1% 41 $1K
99239 Hospital discharge day management, more than 30 minutes <1% 13 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 13 $1K
99224 <1% 37 $974.51
99308 Subsequent nursing facility care, per day, straightforward <1% 250 $916.40
99218 <1% 13 $843.84
78264 <1% 48 $814.84
J1071 Injection, testosterone cypionate, 1 mg <1% 80 $812.80
58100 <1% 22 $696.67
99318 <1% 52 $629.34
93298 <1% 28 $517.11
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 30 $462.25
58300 <1% 17 $390.88
94729 <1% 13 $174.41

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.