Medicaid Provider Spending

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

KAUFFMAN, THERSA

NPI: 1861746927 · CLINTON, IA 52732 · Family Nurse Practitioner · NPI assigned 10/28/2012

$65K
Total Medicaid Paid
3,657
Total Claims
3,497
Beneficiaries
20
Codes Billed
2018-01
First Month
2019-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,048 $37K
2019 1,609 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 805 759 $39K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 389 370 $12K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 336 328 $3K
80053 Comprehensive metabolic panel 182 178 $2K
36415 Collection of venous blood by venipuncture 647 603 $2K
90686 54 54 $1K
81001 327 319 $1K
80050 General health panel 28 26 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 180 177 $916.08
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 51 51 $706.84
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 33 23 $657.11
80061 Lipid panel 12 12 $179.94
87081 20 20 $143.29
83036 Hemoglobin; glycosylated (A1C) 12 12 $130.56
80048 Basic metabolic panel (calcium, ionized) 13 12 $125.43
90472 Immunization administration, each additional vaccine (list separately) 12 12 $81.94
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 116 114 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 354 341 $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) 21 21 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 65 65 $0.00