Medicaid Provider Spending

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

REVIVED SOUL MEDICAL PC

NPI: 1821389941 · BROOKLYN, NY 11229 · Psychiatry Physician · NPI assigned 04/23/2011

$12.22M
Total Medicaid Paid
228,003
Total Claims
207,833
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKIBLITSKY, IRINA (OWNER)
NPI Enumeration Date04/23/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 60,085 $1.67M
2019 46,244 $1.46M
2020 24,431 $1.38M
2021 28,700 $1.90M
2022 24,759 $1.97M
2023 23,357 $2.00M
2024 20,427 $1.83M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 53,411 49,210 $5.09M
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 66,499 61,517 $3.57M
90834 Psychotherapy, 45 minutes with patient 12,557 4,510 $1.01M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,626 13,954 $813K
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 2,567 2,495 $277K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 10,051 9,766 $271K
90837 Psychotherapy, 53 minutes with patient 1,594 940 $161K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 847 847 $104K
90792 Psychiatric diagnostic evaluation with medical services 688 673 $96K
80342 3,039 2,982 $67K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 692 668 $62K
80368 2,975 2,922 $43K
80371 2,952 2,897 $42K
80357 2,987 2,931 $41K
80360 2,876 2,819 $39K
80338 1,622 1,608 $36K
83992 3,711 3,629 $35K
80333 1,600 1,582 $34K
80355 2,190 2,162 $30K
80372 1,856 1,817 $27K
80361 3,541 3,469 $27K
80346 3,784 3,702 $27K
80356 3,427 3,359 $25K
80336 1,787 1,765 $25K
80365 3,444 3,375 $25K
80366 1,708 1,691 $24K
80359 3,751 3,673 $23K
80354 1,524 1,498 $23K
80373 1,496 1,470 $23K
80363 1,863 1,819 $23K
80324 3,596 3,521 $23K
80369 1,424 1,398 $22K
80353 3,442 3,372 $22K
99215 Prolong outpt/office vis 84 64 $15K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 124 124 $14K
80358 1,943 1,901 $12K
80348 764 752 $10K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 102 100 $6K
80362 591 588 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $918.65
80305 141 141 $733.10
93000 12 12 $149.35
36415 Collection of venous blood by venipuncture 63 59 $38.44
81002 14 13 $21.79
91300 13 13 $0.02
96127 12 12 $0.00