Medicaid Provider Spending

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

1821159443

NPI: 1821159443

Deactivated NPI · This NPI was deactivated on 06/09/2020.
$1.48M
Total Medicaid Paid
16,897
Total Claims
15,478
Beneficiaries
15
Codes Billed
2018-01
First Month
2020-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,290 $736K
2019 7,353 $623K
2020 1,254 $121K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 8,948 8,138 $1.30M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,915 2,667 $66K
G0378 Hospital observation service, per hour 2,322 2,085 $54K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 773 688 $26K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 507 488 $13K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 186 186 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 191 187 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 52 50 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 265 263 $2K
90834 Psychotherapy, 45 minutes with patient 31 24 $2K
85018 395 395 $973.74
92551 54 54 $484.95
0521 13 13 $311.48
81002 133 128 $288.59
90472 Immunization administration, each additional vaccine (list separately) 112 112 $0.00