Medicaid Provider Spending

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

TIDEWATER PED. CONSULTANTS, PC

NPI: 1841298759 · VIRGINIA BEACH, VA 23464 · Pediatrics Physician · NPI assigned 07/13/2005

$2.76M
Total Medicaid Paid
58,300
Total Claims
54,461
Beneficiaries
47
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialCHERRY, ROSETTA (PRACTICE MANAGER)
NPI Enumeration Date07/13/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,033 $337K
2019 11,434 $556K
2020 10,364 $543K
2021 10,345 $469K
2022 10,547 $453K
2023 8,577 $401K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,906 15,470 $966K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,104 5,736 $507K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,633 3,522 $290K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,078 2,986 $241K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,179 2,752 $230K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,351 2,194 $191K
90670 2,682 2,486 $55K
90651 1,389 1,338 $44K
90671 314 300 $36K
90698 1,681 1,579 $25K
90633 1,550 1,486 $18K
90734 713 695 $16K
90710 736 703 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 450 422 $15K
99173 5,869 5,596 $14K
90744 770 713 $9K
90688 716 683 $8K
90681 439 411 $7K
90619 363 336 $7K
96127 1,314 1,240 $6K
90696 444 434 $6K
90715 427 411 $6K
90716 367 355 $5K
90707 374 358 $5K
99381 57 48 $5K
83655 311 294 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 234 226 $3K
0001A 72 71 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 166 162 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 24 24 $2K
90648 207 176 $2K
90700 136 136 $2K
0002A 43 41 $2K
90658 127 121 $2K
0072A 39 39 $2K
99383 15 15 $1K
90686 124 115 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 92 77 $1K
0071A 30 30 $1K
90647 78 78 $902.10
85018 331 310 $822.24
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 26 26 $368.61
96110 Developmental screening, with scoring and documentation, per standardized instrument 60 35 $250.00
G0444 Annual depression screening, 5 to 15 minutes 52 35 $149.05
90687 12 12 $138.60
36416 143 129 $91.79
J7609 Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg 72 55 $8.96