Medicaid Provider Spending

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

PENOBSCOT FAMILY FOOT AND ANKLE CENTER

NPI: 1841690377 · BANGOR, ME 04401 · Foot & Ankle Surgery Podiatrist · NPI assigned 09/03/2014

$39K
Total Medicaid Paid
6,206
Total Claims
4,764
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDESANTIS, DIANE (BILLING MANAGER)
NPI Enumeration Date09/03/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,222 $7K
2019 835 $6K
2020 587 $6K
2021 554 $5K
2022 909 $6K
2023 1,168 $6K
2024 931 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
11720 3,415 2,501 $22K
11721 1,477 1,081 $16K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14 13 $335.91
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 15 13 $335.19
G8415 Footwear evaluation was not performed 1,117 1,010 $0.00
G8404 Lower extremity neurological exam performed and documented 168 146 $0.00