Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Abungu, Billy

Abungu, Billy was paid $215K by Medicaid between Jan 2019 and Jan 2024, across 34 billing codes. Its largest line is 99336, — 49% of everything it billed.

33Billing provider infoABUNGU, BILLY
BRONX, NY 10453
33aNPI1881033272assigned 06/18/2013
28Total paid$215K
24GClaims28,063
24DCodes billed34
24AFirst – last monthJan 2019 – Jan 2024
Compared with peers

Next to other General Practice Physician providers in New York

Rank by total paid#52 of 178
Median peer was paid$27K
This provider vs. median8.0×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20191,229$11K
20207,808$42K
20216,583$31K
20227,607$61K
20234,803$68K
2024incomplete33$213.24
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99336 49% 3,785 2,815 $105K
99349 41% 2,451 1,975 $88K
99335 5.0% 675 514 $11K
99327 1.2% 77 76 $3K
99337 1.2% 45 43 $3K
99490 Ccm add 20min <1% 1,305 1,303 $2K
99326 <1% 32 32 $2K
90756 <1% 77 77 $925.16
99328 <1% 12 12 $237.52
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 17 17 $228.60
1126F <1% 4,501 3,484 $25.00
1170F <1% 239 237 $5.00
22 more codes
1160F <1% 267 $5.00
3078F <1% 1,281 $5.00
3075F 0% 200 $0.00
1125F 0% 787 $0.00
3079F 0% 323 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 2,482 $0.00
3074F 0% 1,022 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 93 $0.00
3080F 0% 166 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 0% 208 $0.00
3017F 0% 185 $0.00
G0008 Administration of influenza virus vaccine 0% 36 $0.00
G9716 Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason 0% 34 $0.00
G8477 Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg 0% 1,028 $0.00
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg 0% 2,350 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 204 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 2,494 $0.00
G8482 Influenza immunization administered or previously received 0% 66 $0.00
3077F 0% 468 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 0% 26 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 978 $0.00
3725F 0% 149 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.