Medicaid Provider Spending

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

ANTONIETA A GIMOTEA MD PA

NPI: 1841324340 · MISSION, TX 78572 · Pediatrics Physician · NPI assigned 03/15/2007

$3.21M
Total Medicaid Paid
135,207
Total Claims
111,625
Beneficiaries
57
Codes Billed
2018-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGIMOTEA, ANTONIETA (PRESIDENT)
NPI Enumeration Date03/15/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 39 $862.75
2019 310 $6K
2020 8,950 $177K
2021 31,806 $764K
2022 41,153 $972K
2023 30,441 $742K
2024 22,508 $548K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,965 18,102 $770K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 10,086 9,233 $395K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 25,486 11,663 $336K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13,682 12,096 $323K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,128 3,032 $242K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,664 2,623 $212K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,383 2,324 $197K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13,570 12,376 $182K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,110 2,048 $157K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8,206 8,059 $86K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,412 1,344 $69K
90472 Immunization administration, each additional vaccine (list separately) 5,082 3,838 $56K
99429 1,693 1,677 $55K
99000 3,623 3,474 $35K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 669 623 $26K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 270 265 $21K
90474 1,196 1,180 $10K
87631 113 109 $8K
99381 87 85 $7K
92567 311 301 $4K
97169 102 102 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 53 52 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 52 52 $2K
81002 728 707 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 151 140 $1K
81025 165 163 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 76 71 $922.04
83014 168 166 $778.80
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 20 20 $700.20
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 31 28 $431.44
87420 28 26 $245.28
90620 540 532 $192.76
J0696 Injection, ceftriaxone sodium, per 250 mg 68 64 $84.06
86580 13 13 $77.52
90686 3,958 3,912 $38.47
90651 976 967 $0.48
90671 552 536 $0.30
90715 512 503 $0.15
90707 261 260 $0.03
90696 117 115 $0.01
90648 1,003 994 $0.00
90700 192 192 $0.00
90734 598 590 $0.00
90670 1,249 1,237 $0.00
90633 793 787 $0.00
99051 56 39 $0.00
90710 90 90 $0.00
90716 202 202 $0.00
90619 81 79 $0.00
90697 410 403 $0.00
36415 Collection of venous blood by venipuncture 2,092 2,027 $0.00
90680 1,213 1,197 $0.00
90698 59 56 $0.00
90723 630 625 $0.00
36416 155 151 $0.00
90744 15 13 $0.00
90381 62 62 $0.00