Medicaid Provider Spending

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

PAVESE, HEIDI

NPI: 1861681926 · ROCK HILL, NY 12775 · Family Nurse Practitioner · NPI assigned 10/15/2007

$205K
Total Medicaid Paid
3,661
Total Claims
3,517
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 150 $8K
2019 586 $27K
2020 610 $34K
2021 912 $67K
2022 973 $50K
2023 243 $13K
2024 187 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,609 1,533 $117K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,053 994 $69K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 47 45 $7K
80050 General health panel 111 111 $4K
80061 Lipid panel 212 212 $3K
83036 Hemoglobin; glycosylated (A1C) 198 198 $2K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 25 25 $2K
96127 188 185 $904.64
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 24 24 $550.00
90686 27 27 $354.75
86803 13 13 $185.51
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $131.25
36415 Collection of venous blood by venipuncture 128 125 $48.00
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) 13 12 $0.00