Medicaid Provider Spending

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

BATON ROUGE CLINIC, A MEDICAL CORPORATION

NPI: 1871546911 · BATON ROUGE, LA 70808 · Pediatrics Physician · NPI assigned 05/18/2006

$10.26M
Total Medicaid Paid
590,912
Total Claims
316,092
Beneficiaries
112
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSILVEY, EDGAR (C.E.O.)
NPI Enumeration Date05/18/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,837 $20K
2019 72,067 $919K
2020 99,152 $1.52M
2021 107,609 $1.93M
2022 103,911 $1.88M
2023 104,010 $2.04M
2024 102,326 $1.94M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 133,486 43,071 $3.20M
99233 Prolong inpt eval add15 m 34,022 16,174 $1.19M
99309 Subsequent nursing facility care, per day, low to moderate complexity 120,545 60,333 $964K
99223 Prolong inpt eval add15 m 14,798 12,868 $885K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 28,631 24,617 $745K
99308 Subsequent nursing facility care, per day, straightforward 125,898 56,451 $719K
99239 Hospital discharge day management, more than 30 minutes 16,927 14,771 $596K
90792 Psychiatric diagnostic evaluation with medical services 9,998 8,001 $505K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,694 15,665 $394K
99222 Initial hospital care, per day, moderate complexity 7,397 6,375 $346K
99231 Subsequent hospital care, per day, straightforward or low complexity 16,381 6,854 $182K
99220 1,065 905 $49K
95819 808 709 $38K
99307 5,911 3,385 $32K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6,145 5,001 $30K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 470 363 $30K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 743 672 $29K
80053 Comprehensive metabolic panel 4,415 3,605 $29K
99238 Hospital discharge day management, 30 minutes or less 1,162 990 $27K
83036 Hemoglobin; glycosylated (A1C) 4,006 3,188 $25K
80061 Lipid panel 3,020 2,381 $24K
99221 378 344 $18K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 832 739 $17K
36415 Collection of venous blood by venipuncture 14,034 11,427 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 647 595 $15K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,590 1,162 $13K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 503 453 $11K
90686 805 624 $11K
84443 Thyroid stimulating hormone (TSH) 1,251 970 $9K
80048 Basic metabolic panel (calcium, ionized) 1,452 1,127 $9K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 168 154 $8K
0001A 426 398 $8K
99348 449 138 $8K
0002A 403 375 $8K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 90 66 $7K
99051 337 308 $6K
99306 Prolong nursin fac eval 15m 352 293 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 95 81 $5K
99407 446 348 $4K
90472 Immunization administration, each additional vaccine (list separately) 283 220 $3K
71046 Radiologic examination, chest; 2 views 773 716 $3K
90732 37 28 $3K
93000 269 260 $3K
0012A 134 125 $2K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 30 27 $2K
0011A 151 144 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 210 168 $2K
80050 General health panel 82 64 $2K
99226 68 48 $2K
99283 Emergency department visit for the evaluation and management, moderate severity 52 41 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 83 67 $1K
82728 143 123 $1K
0003A 100 92 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 25 24 $1K
73630 472 251 $1K
99406 226 175 $1K
99349 19 13 $1K
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 180 156 $1K
81001 473 370 $982.64
83550 151 125 $977.34
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 81 80 $964.60
99347 83 26 $958.98
0004A 67 63 $879.56
82043 186 142 $736.63
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 28 25 $707.40
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 42 42 $699.53
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 27 24 $679.33
82570 186 142 $657.46
83540 164 138 $648.42
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 27 24 $631.58
87634 122 104 $624.00
20610 26 26 $521.81
0072A 13 12 $402.99
0064A 38 35 $378.72
99310 Prolong nursin fac eval 15m 37 32 $350.63
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 530 434 $323.71
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 58 56 $315.04
95886 181 148 $283.28
99305 49 40 $279.72
96380 24 24 $262.48
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 13 $205.32
99318 129 102 $200.33
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 66 46 $186.87
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 18 12 $175.44
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 56 37 $141.79
81003 137 127 $139.75
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 41 40 $136.12
91300 563 474 $112.49
0124A 12 12 $110.34
11721 29 24 $108.70
90474 29 24 $73.04
J1100 Injection, dexamethasone sodium phosphate, 1 mg 71 71 $30.03
90656 420 367 $22.35
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) 944 873 $15.75
J1885 Injection, ketorolac tromethamine, per 15 mg 47 41 $6.91
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 823 730 $4.79
90677 133 123 $0.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 485 449 $0.00
3044F 474 417 $0.00
99217 28 24 $0.00
90647 56 50 $0.00
90723 33 30 $0.00
G0008 Administration of influenza virus vaccine 25 25 $0.00
91301 170 148 $0.00
91307 39 30 $0.00
99000 24 12 $0.00
90461 149 107 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 215 157 $0.00
99215 Prolong outpt/office vis 23 17 $0.00
99072 840 582 $0.00
96160 95 81 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 14 12 $0.00