Medicaid Provider Spending

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

MEDICAL PLAZA FAMILY & GERIATRIC PHYSICIANS, PA

NPI: 1851630172 · CHARLOTTE, NC 28262 · Geriatric Medicine (Family Medicine) Physician · NPI assigned 02/06/2013

$1.58M
Total Medicaid Paid
283,935
Total Claims
101,621
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLONG, WILLIAM (PHYSICIAN/OWNER)
NPI Enumeration Date02/06/2013

Related Entities

Other providers sharing the same authorized official: LONG, WILLIAM

ProviderCityStateTotal Paid
PEDIATRIC ASSOICATES, INC. CANAL WINCHESTER OH $14.37M
WILLIAM T LONG MD INC A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION LOS ANGELES CA $2K
UPSTATE PODIATRY GROUP, PA SIMPSONVILLE SC $140.84
CROSSROADS PHARMACY NEWTON NC $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 22,042 $435K
2019 18,085 $411K
2020 73,740 $292K
2021 61,997 $197K
2022 47,942 $131K
2023 27,007 $47K
2024 33,122 $66K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 38,673 18,388 $796K
99308 41,351 13,948 $629K
99306 Prolong nursin fac eval 15m 2,609 1,715 $86K
99310 Prolong nursin fac eval 15m 761 443 $22K
99307 1,818 1,017 $18K
99199 5,450 5,417 $17K
99318 143 102 $3K
99439 743 329 $3K
99490 Ccm add 20min 938 464 $2K
99316 99 63 $2K
99496 60 26 $600.59
99484 90 43 $334.86
99491 Ccm add 20min 25 12 $42.51
99441 66 33 $33.96
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 84 40 $20.70
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 45,050 13,328 $1.02
4040F 27,033 9,423 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 40,107 11,407 $0.00
3088F 11,864 5,466 $0.00
G8482 Influenza immunization administered or previously received 5,335 1,787 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 1,792 691 $0.00
3288F 13,171 3,118 $0.00
3051F 571 416 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 35 13 $0.00
3046F 1,189 385 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 241 104 $0.00
1124F 29 21 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 17,590 5,974 $0.00
3044F 456 195 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 112 64 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 20,266 5,003 $0.00
1123F 5,688 1,892 $0.00
G9910 Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period 242 152 $0.00
1101F 140 81 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 88 47 $0.00
G8432 Depression screening not documented, reason not given 26 14 $0.00