Medicaid Provider Spending

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

SPECTRUM MEDICAL GROUP PA

NPI: 1801878632 · WINSTON-SALEM, NC 27103 · Pulmonary Disease Physician · NPI assigned 11/17/2005

$388K
Total Medicaid Paid
21,506
Total Claims
18,583
Beneficiaries
43
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFERRELL, TAMMY (ADMINISTRATOR)
NPI Enumeration Date11/17/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,283 $33K
2019 2,371 $61K
2020 2,565 $100K
2021 3,374 $72K
2022 1,836 $30K
2023 3,548 $36K
2024 4,529 $56K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,404 3,825 $173K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,263 501 $146K
94010 3,072 2,614 $31K
99233 Prolong inpt eval add15 m 188 83 $8K
94729 699 586 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 231 190 $7K
71046 Radiologic examination, chest; 2 views 548 495 $4K
99406 360 318 $2K
99205 Prolong outpt/office vis 24 24 $2K
99215 Prolong outpt/office vis 28 26 $2K
94727 131 122 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 19 16 $1K
99232 Subsequent hospital care, per day, moderate complexity 30 13 $1K
99223 Prolong inpt eval add15 m 13 12 $1K
94664 113 96 $436.87
3017F 1,307 1,196 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 306 299 $0.00
G8732 No documentation of pain assessment, reason not given 589 568 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 109 106 $0.00
G8432 Depression screening not documented, reason not given 838 775 $0.00
1036F 470 459 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 184 168 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 681 625 $0.00
3074F 196 182 $0.00
1101F 135 132 $0.00
1123F 133 129 $0.00
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) 16 13 $0.00
G8926 Spirometry test not performed or documented, reason not given 25 24 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 123 120 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 12 12 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 12 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,868 2,580 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 939 910 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 215 211 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 255 232 $0.00
G8482 Influenza immunization administered or previously received 180 171 $0.00
3023F 72 69 $0.00
4004F 12 12 $0.00
G8484 Influenza immunization was not administered, reason not given 29 27 $0.00
3078F 357 329 $0.00
4040F 134 130 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 143 131 $0.00
1090F 43 40 $0.00