Medicaid Provider Spending

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

HEALTHY KIDS LLC

NPI: 1861711616 · SHELBYVILLE, TN 37160 · Pediatrics Physician · NPI assigned 05/19/2010

$3.99M
Total Medicaid Paid
160,635
Total Claims
137,387
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOLEH, SAMER (OWNER)
NPI Enumeration Date05/19/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,536 $364K
2019 19,509 $495K
2020 17,246 $433K
2021 22,193 $571K
2022 26,752 $668K
2023 31,341 $770K
2024 28,058 $690K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,220 20,836 $1.09M
90460 Immunization administration through 18 years of age via any route, first or only component 15,049 13,071 $552K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,827 5,152 $384K
96110 Developmental screening, with scoring and documentation, per standardized instrument 13,630 12,150 $317K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,364 4,505 $311K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,578 3,998 $298K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,211 3,709 $262K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,501 2,175 $180K
92552 9,320 8,037 $140K
99381 802 616 $46K
87428 720 629 $44K
96127 6,803 5,798 $42K
99173 8,745 7,550 $39K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,013 1,703 $35K
96161 3,052 2,280 $29K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,075 942 $27K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,571 2,300 $24K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 489 457 $18K
3008F 11,360 9,938 $16K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,032 768 $16K
83655 1,641 1,476 $15K
90686 6,787 5,937 $15K
90651 1,818 1,526 $13K
96160 1,398 1,208 $11K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 305 293 $10K
90697 1,103 998 $10K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 77 75 $5K
90670 3,521 3,133 $5K
85018 2,607 2,294 $5K
95115 554 202 $5K
90619 290 216 $4K
99383 57 52 $4K
92558 484 427 $2K
90716 1,749 1,495 $2K
90734 520 430 $2K
90681 1,617 1,464 $1K
90698 1,114 1,027 $1K
90620 116 92 $1K
90677 415 403 $1K
90707 1,714 1,471 $985.56
90633 2,223 1,932 $631.32
96381 57 53 $626.24
81002 265 236 $596.92
96380 43 29 $587.13
92588 36 29 $560.81
90381 70 65 $519.75
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 27 26 $391.58
90715 186 151 $292.78
95117 28 16 $281.28
90696 355 320 $259.21
36416 173 136 $193.26
86308 42 37 $175.05
90723 878 798 $170.72
99401 13 13 $104.25
90710 75 71 $79.22
90647 1,156 1,058 $67.48
90656 106 106 $26.40
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 44 39 $1.80
90685 423 366 $0.00
90700 193 178 $0.00
99499 598 538 $0.00
90380 44 30 $0.00
G8482 Influenza immunization administered or previously received 19 19 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 255 234 $0.00
1036F 77 74 $0.00