Medicaid Provider Spending

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

HARRYS PRIMARY CARE LLC

NPI: 1871634394 · COLUMBIA, MD 21045 · Internal Medicine Physician · NPI assigned 02/09/2007

$250K
Total Medicaid Paid
5,563
Total Claims
5,059
Beneficiaries
11
Codes Billed
2018-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLI, HARRY (DIRECTOR)
NPI Enumeration Date02/09/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 562 $46K
2019 833 $54K
2020 436 $16K
2021 589 $25K
2022 1,104 $32K
2023 1,011 $41K
2024 1,028 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,556 2,342 $130K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,763 2,474 $113K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 37 36 $4K
G0444 Annual depression screening, 5 to 15 minutes 43 43 $2K
96127 26 26 $122.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 45 45 $65.58
1030F 27 27 $0.04
G8510 Screening for depression is documented as negative, a follow-up plan is not required 12 12 $0.00
3008F 27 27 $0.00
1036F 14 14 $0.00
4037F 13 13 $0.00