Medicaid Provider Spending

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

LEONIDA, EFREN

NPI: 1891892188 · MT PLEASANT, PA 15666 · Family Medicine Physician · NPI assigned 09/20/2006

$369K
Total Medicaid Paid
18,071
Total Claims
13,659
Beneficiaries
21
Codes Billed
2020-08
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 875 $9K
2021 4,346 $58K
2022 4,469 $88K
2023 4,909 $120K
2024 3,472 $94K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 2,814 1,135 $113K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,853 1,795 $93K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,875 895 $72K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,318 1,200 $45K
99222 Initial hospital care, per day, moderate complexity 345 334 $32K
99254 212 203 $12K
99253 68 66 $2K
90674 81 80 $627.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 28 28 $286.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,991 1,836 $0.00
3078F 1,597 1,488 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 30 30 $0.00
3077F 27 26 $0.00
3079F 1,287 1,219 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 299 278 $0.00
3075F 906 871 $0.00
3074F 1,917 1,769 $0.00
1000F 180 174 $0.00
1015F 201 191 $0.00
1111F 13 12 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 29 29 $0.00