Medicaid Provider Spending

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

PROACTIVE HEALTH CARE MANAGEMENT,LLC

NPI: 1811641145 · MILFORD, CT 06460 · Adult Health Nurse Practitioner · NPI assigned 02/06/2022

$462K
Total Medicaid Paid
28,466
Total Claims
10,685
Beneficiaries
7
Codes Billed
2022-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGRAY, ANI (OWNER)
NPI Enumeration Date02/06/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 4,428 $80K
2023 10,963 $182K
2024 13,075 $200K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 26,385 9,244 $432K
99310 Prolong nursin fac eval 15m 712 492 $16K
99308 Subsequent nursing facility care, per day, straightforward 929 589 $11K
G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) 313 243 $1K
99316 77 68 $1K
99358 Prolong nursin fac eval 15m 36 35 $0.00
99356 14 14 $0.00