Medicaid Provider Spending

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

TEJEDA, CARLOS

NPI: 1851342703 · PASSAIC, NJ 07055 · Internal Medicine Physician · NPI assigned 05/15/2006

$1.03M
Total Medicaid Paid
141,903
Total Claims
131,100
Beneficiaries
79
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 29,142 $271K
2019 31,133 $236K
2020 21,229 $184K
2021 17,645 $116K
2022 16,279 $93K
2023 12,661 $62K
2024 13,814 $67K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,812 9,085 $382K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,230 7,543 $285K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,083 1,075 $95K
99497 1,833 1,807 $55K
99401 2,053 1,641 $40K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,796 2,726 $32K
90746 644 642 $30K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 198 198 $16K
93000 2,345 2,308 $15K
90686 988 978 $13K
90715 378 374 $11K
90674 384 381 $7K
99402 143 140 $5K
96127 1,895 1,865 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 358 313 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 567 446 $4K
90662 480 468 $4K
99490 Ccm add 20min 1,062 1,051 $2K
G0444 Annual depression screening, 5 to 15 minutes 650 638 $2K
82962 2,498 2,262 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 110 103 $2K
94060 62 55 $1K
94729 62 55 $1K
94726 61 55 $1K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 452 445 $1K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 589 587 $1K
90732 29 29 $1K
99457 195 193 $971.75
G0008 Administration of influenza virus vaccine 647 628 $927.01
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 46 42 $908.18
99458 172 167 $752.64
90656 45 45 $735.84
90472 Immunization administration, each additional vaccine (list separately) 96 94 $729.40
99397 28 28 $695.57
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 189 154 $594.59
G0451 Development testing, with interpretation and report, per standardized instrument form 207 206 $506.09
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 41 26 $429.45
99215 Prolong outpt/office vis 13 12 $425.66
99454 77 77 $405.96
3008F 14,252 12,856 $307.00
82950 162 152 $284.85
94375 14 14 $164.99
90688 15 13 $123.20
1159F 15,528 14,037 $98.81
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 133 126 $73.55
99439 34 34 $59.30
J1885 Injection, ketorolac tromethamine, per 15 mg 27 27 $23.20
0521F 714 695 $4.00
3078F 11,868 10,754 $1.00
3725F 2,780 2,689 $0.00
1160F 15,226 13,772 $0.00
1158F 1,418 1,396 $0.00
0518F 151 138 $0.00
2014F 152 150 $0.00
3077F 1,770 1,672 $0.00
1090F 139 124 $0.00
3050F 37 37 $0.00
1100F 39 39 $0.00
1170F 606 598 $0.00
2010F 13,325 12,229 $0.00
3074F 9,668 8,829 $0.00
2000F 2,110 1,977 $0.00
1101F 437 433 $0.00
1125F 591 579 $0.00
3075F 3,048 2,886 $0.00
3079F 2,114 2,024 $0.00
1126F 576 558 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 24 24 $0.00
1111F 176 160 $0.00
H0049 Alcohol and/or drug screening 277 269 $0.00
1036F 1,257 1,186 $0.00
3080F 390 380 $0.00
3049F 83 83 $0.00
3044F 1,103 1,082 $0.00
1030F 29 29 $0.00
3048F 71 66 $0.00
90694 15 15 $0.00
4037F 14 14 $0.00
1034F 12 12 $0.00