Medicaid Provider Spending

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

DR AARON DAVID AND DR LARISSA FOMITCHEVA OB/GYN PLLC

NPI: 1891112520 · MASSAPEQUA, NY 11758 · Obstetrics & Gynecology Physician · NPI assigned 03/19/2014

$179K
Total Medicaid Paid
3,861
Total Claims
3,477
Beneficiaries
14
Codes Billed
2018-01
First Month
2021-08
Last Month

Provider Details

Authorized OfficialMALAMUT, SETH (MANAGER)
NPI Enumeration Date03/19/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,019 $54K
2019 1,010 $47K
2020 1,162 $45K
2021 670 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76830 Ultrasound, transvaginal 743 716 $63K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 746 721 $44K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 731 641 $29K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 253 237 $17K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 594 593 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 118 82 $8K
99441 59 55 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 28 28 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $1K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 21 13 $1K
81002 425 270 $811.20
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 39 28 $482.22
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 39 28 $56.56
99000 53 53 $0.00