Medicaid Provider Spending

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

BURDEN, THEODORE

NPI: 1811980030 · PHILADELPHIA, PA 19130 · Internal Medicine Physician · NPI assigned 08/23/2005

$234K
Total Medicaid Paid
13,416
Total Claims
12,631
Beneficiaries
29
Codes Billed
2020-09
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,095 $28K
2021 7,203 $148K
2022 2,579 $36K
2023 1,610 $12K
2024 929 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,444 3,164 $183K
S9470 Nutritional counseling, dietitian visit 1,275 1,205 $36K
99406 380 356 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 124 118 $4K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 15 15 $2K
G9016 Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] 93 85 $2K
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 17 17 $913.92
96160 201 198 $475.59
99447 27 27 $406.00
98960 39 36 $240.00
99408 30 30 $186.06
82962 177 166 $180.40
96127 34 34 $105.98
4010F 54 52 $0.01
1125F 586 561 $0.00
3079F 868 833 $0.00
36415 Collection of venous blood by venipuncture 269 246 $0.00
3008F 2,316 2,183 $0.00
1036F 359 335 $0.00
1130F 558 546 $0.00
3074F 679 638 $0.00
3075F 175 161 $0.00
3044F 15 15 $0.00
S0257 Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) 16 16 $0.00
1111F 13 13 $0.00
1159F 488 467 $0.00
1160F 433 416 $0.00
3078F 689 656 $0.00
G9920 Screening performed and negative 42 42 $0.00