Medicaid Provider Spending

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

CENTER FOR DIAGNOSIS AND TREATMENT, LLC

NPI: 1831213693 · ELIZABETH, NJ 07208 · Internal Medicine Physician · NPI assigned 03/19/2007

$495K
Total Medicaid Paid
21,795
Total Claims
20,608
Beneficiaries
57
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBENALCAZAR, LUIS (MEDICAL DIRECTOR)
NPI Enumeration Date03/19/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,011 $69K
2019 2,166 $71K
2020 2,420 $73K
2021 2,442 $93K
2022 3,618 $101K
2023 4,630 $56K
2024 2,508 $31K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,742 6,318 $353K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,092 1,977 $70K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 390 366 $28K
93925 100 86 $9K
99397 305 281 $7K
93000 687 664 $5K
99490 Ccm add 20min 3,112 3,094 $5K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 46 41 $3K
93970 52 45 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 411 382 $2K
93978 37 29 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 46 43 $2K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 454 417 $1K
99497 129 117 $983.04
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $842.04
90688 219 214 $669.56
99483 Prolong outpt/office vis 14 14 $617.68
99454 243 243 $602.61
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 12 12 $484.56
G0008 Administration of influenza virus vaccine 150 146 $434.68
36415 Collection of venous blood by venipuncture 729 722 $406.80
99457 246 246 $399.97
G0444 Annual depression screening, 5 to 15 minutes 161 152 $304.34
1170F 463 427 $148.49
80305 35 32 $145.86
3078F 483 456 $125.23
1159F 683 626 $81.10
3074F 242 229 $75.12
3077F 314 291 $67.13
3044F 226 223 $67.00
1125F 168 147 $66.00
1160F 514 470 $48.10
1126F 187 173 $35.40
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 53 53 $33.45
3079F 92 82 $13.05
3075F 33 29 $9.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 34 34 $8.00
1123F 65 61 $4.00
1158F 74 66 $3.00
3080F 30 28 $3.00
3061F 43 41 $2.00
3095F 48 40 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 142 132 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 357 335 $0.00
G8482 Influenza immunization administered or previously received 145 134 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 31 28 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 18 15 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 46 41 $0.00
3014F 139 127 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 34 29 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 141 132 $0.00
3017F 130 119 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 157 140 $0.00
1036F 156 145 $0.00
3008F 85 70 $0.00
90689 12 12 $0.00
1101F 26 20 $0.00