Medicaid Provider Spending

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

MEDSPA M.D. LLC

NPI: 1871848614 · BALTIMORE, MD 21217 · General Practice Physician · NPI assigned 07/18/2012

$21K
Total Medicaid Paid
273
Total Claims
262
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-08
Last Month

Provider Details

Authorized OfficialCLANZY, SUSAN (CEO)
NPI Enumeration Date07/18/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 273 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 195 184 $21K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 30 30 $0.00
G0444 Annual depression screening, 5 to 15 minutes 48 48 $0.00