Medicaid Provider Spending

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

MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC

NPI: 1891892097 · BRIDGEPORT, WV 26330 · Allergy & Immunology Physician · NPI assigned 09/20/2006

$3.64M
Total Medicaid Paid
66,780
Total Claims
58,670
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKIRKLAND, EUGENE (CMO)
NPI Enumeration Date09/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,585 $583K
2019 3,697 $232K
2020 7,578 $441K
2021 7,885 $324K
2022 14,015 $692K
2023 13,547 $721K
2024 11,473 $648K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,443 16,753 $863K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,637 8,732 $701K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,177 5,776 $408K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,488 3,291 $362K
88305 Level IV - Surgical pathology, gross and microscopic examination 6,747 6,095 $332K
17110 3,467 3,112 $234K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 2,759 1,484 $219K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,883 2,698 $154K
11102 2,283 2,049 $117K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,388 1,278 $48K
11100 507 403 $40K
94010 1,277 1,131 $36K
95117 2,732 1,606 $24K
17000 796 672 $23K
11104 318 288 $22K
17311 52 37 $11K
11103 244 232 $10K
36415 Collection of venous blood by venipuncture 799 683 $9K
11900 316 256 $8K
81025 1,184 1,052 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 437 306 $4K
12032 15 14 $2K
17003 165 152 $2K
80053 Comprehensive metabolic panel 65 59 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 62 58 $1K
80061 Lipid panel 43 41 $824.25
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 420 351 $795.35
84443 Thyroid stimulating hormone (TSH) 16 13 $444.84
80048 Basic metabolic panel (calcium, ionized) 12 12 $212.36
90674 13 12 $144.88
95115 18 12 $100.30
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 17 12 $75.28