Medicaid Provider Spending

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

DR. BUTLER & ASSOCIATES, PLLC

NPI: 1801928189 · PADUCAH, KY 42003 · Physician Assistant · NPI assigned 03/12/2007

$86K
Total Medicaid Paid
20,737
Total Claims
18,034
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBUTLER, LORI (OFFICE MANAGER)
NPI Enumeration Date03/12/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,317 $18K
2019 2,159 $5K
2020 1,089 $1K
2021 1,878 $8K
2022 3,081 $20K
2023 3,819 $21K
2024 3,394 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,677 2,287 $73K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 384 339 $9K
99307 303 303 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $1K
99308 Subsequent nursing facility care, per day, straightforward 328 320 $650.38
90686 25 25 $80.94
3017F 1,193 1,064 $67.10
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) 225 161 $49.78
G9903 Patient screened for tobacco use and identified as a tobacco non-user 2,085 1,844 $42.63
90756 13 13 $17.94
G0444 Annual depression screening, 5 to 15 minutes 72 72 $16.41
80305 13 13 $10.61
G0008 Administration of influenza virus vaccine 69 68 $8.44
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,080 935 $0.11
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,717 1,525 $0.00
4040F 380 333 $0.00
3078F 573 477 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 308 285 $0.00
4004F 140 127 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 609 542 $0.00
G8482 Influenza immunization administered or previously received 630 535 $0.00
1159F 663 545 $0.00
3725F 328 294 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 151 140 $0.00
G8484 Influenza immunization was not administered, reason not given 60 56 $0.00
1160F 222 174 $0.00
1036F 3,100 2,672 $0.00
3008F 1,006 828 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 119 106 $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) 87 78 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 787 702 $0.00
3074F 512 430 $0.00
1125F 298 244 $0.00
3075F 164 139 $0.00
3079F 189 163 $0.00
G8422 Bmi not documented, documentation the patient is not eligible for bmi calculation 19 13 $0.00
1126F 110 94 $0.00
1034F 30 26 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 56 50 $0.00