Medicaid Provider Spending

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

RUDOLPH, DANIEL

NPI: 1861477085 · FESTUS, MO 63028 · Pediatrics Physician · NPI assigned 12/09/2005

$761K
Total Medicaid Paid
19,315
Total Claims
18,479
Beneficiaries
28
Codes Billed
2018-01
First Month
2020-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,594 $339K
2019 8,088 $313K
2020 2,633 $110K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,584 6,024 $276K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,218 2,098 $132K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,245 1,208 $85K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,111 1,097 $80K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 964 953 $69K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 514 505 $36K
90698 819 810 $23K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 967 945 $14K
90707 389 387 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 231 228 $7K
90670 1,040 1,031 $6K
90680 670 662 $4K
90744 523 515 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 94 89 $3K
90633 435 426 $2K
90716 399 397 $2K
90686 372 372 $2K
90715 106 106 $2K
99238 Hospital discharge day management, 30 minutes or less 40 40 $2K
90734 211 207 $1K
90696 54 54 $1K
90700 55 55 $965.71
99381 14 13 $951.39
90651 119 117 $677.17
90648 53 53 $309.59
90685 53 52 $295.50
90713 19 19 $112.13
81002 16 16 $34.33