Medicaid Provider Spending

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

AGUSTI MEDICAL CORPORATION

NPI: 1861621575 · WINFIELD, IN 46307 · Internal Medicine Physician · NPI assigned 07/02/2009

$179K
Total Medicaid Paid
26,359
Total Claims
19,829
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialAGUSTI, JOSE (PRESIDENT)
NPI Enumeration Date07/02/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,847 $18K
2019 2,280 $18K
2020 2,307 $13K
2021 3,568 $12K
2022 7,078 $35K
2023 7,027 $39K
2024 2,252 $45K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99349 9,450 7,147 $129K
99348 4,987 3,726 $42K
99443 143 75 $4K
99344 54 39 $2K
99350 Prolong home eval add 15m 114 96 $1K
99354 25 16 $217.47
99347 29 19 $209.85
99457 252 230 $156.87
99454 547 413 $140.25
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 31 30 $91.93
99491 Ccm add 20min 53 35 $80.53
90756 34 33 $75.17
99490 Ccm add 20min 2,250 1,716 $60.03
90688 20 20 $51.00
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 1,257 1,203 $15.34
99458 15 15 $0.88
G8754 Most recent diastolic blood pressure < 90 mmhg 1,025 730 $0.00
99495 13 13 $0.00
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 50 48 $0.00
99406 448 374 $0.00
99439 392 282 $0.00
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 156 151 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 23 14 $0.00
G0008 Administration of influenza virus vaccine 19 18 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 224 192 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,081 1,997 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 881 642 $0.00
99453 376 264 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 100 56 $0.00
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 25 25 $0.00
99072 191 131 $0.00
G3002 Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) 27 27 $0.00
3046F 42 28 $0.00
99497 13 12 $0.00
11721 12 12 $0.00