Medicaid Provider Spending

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

QS PEDS MED LLC

NPI: 1891426441 · OKLAHOMA CITY, OK 73120 · Pediatrics Physician · NPI assigned 06/23/2022

$687K
Total Medicaid Paid
9,997
Total Claims
9,684
Beneficiaries
13
Codes Billed
2023-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPESPISA, JUSTIN (OWNER - MEDICAL DIRECTOR)
NPI Enumeration Date06/23/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 3,496 $254K
2024 6,501 $433K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,490 2,488 $240K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,516 2,325 $196K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 642 642 $92K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 797 756 $88K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 725 708 $22K
87430 1,356 1,326 $20K
87400 828 808 $20K
87420 397 392 $5K
71046 Radiologic examination, chest; 2 views 96 91 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 71 70 $464.80
81003 26 25 $52.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 41 41 $36.30
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 12 12 $1.65