Medicaid Provider Spending

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

ANDES, SCOTT

NPI: 1891803037 · BROOKLYN, NY 11234 · Internal Medicine Physician · NPI assigned 08/28/2006

$760K
Total Medicaid Paid
46,302
Total Claims
43,746
Beneficiaries
42
Codes Billed
2023-06
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 4,387 $116K
2024 41,915 $644K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9,354 9,224 $221K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,508 4,916 $177K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,750 2,697 $109K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,774 6,209 $108K
99491 Ccm add 20min 6,390 6,268 $54K
99344 379 362 $10K
99443 219 194 $10K
99349 1,917 1,687 $10K
94060 362 344 $9K
99454 607 581 $7K
99387 380 362 $6K
99457 1,135 1,076 $6K
99490 Ccm add 20min 2,097 1,988 $6K
99458 824 781 $5K
99424 566 554 $4K
93000 495 471 $4K
99497 1,331 1,214 $3K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 177 166 $3K
99397 209 193 $3K
99439 377 360 $2K
99492 203 198 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 163 116 $550.95
99401 582 499 $379.10
G3002 Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) 877 846 $368.30
99453 39 38 $188.69
36415 Collection of venous blood by venipuncture 557 536 $182.76
99350 Prolong home eval add 15m 39 39 $32.13
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 21 12 $14.43
81002 13 12 $4.12
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 341 319 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 28 28 $0.00
3074F 268 247 $0.00
3075F 153 140 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 143 142 $0.00
3079F 49 48 $0.00
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 267 261 $0.00
3078F 494 443 $0.00
G0444 Annual depression screening, 5 to 15 minutes 28 28 $0.00
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 28 28 $0.00
3077F 82 73 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 41 14 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 35 32 $0.00