Medicaid Provider Spending

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

1902298136

NPI: 1902298136

Deactivated NPI · This NPI was deactivated on 05/30/2025.
$293K
Total Medicaid Paid
10,761
Total Claims
10,157
Beneficiaries
22
Codes Billed
2018-01
First Month
2022-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,841 $54K
2019 1,966 $62K
2020 1,944 $47K
2021 2,799 $67K
2022 2,211 $63K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,822 3,638 $162K
99454 1,115 1,037 $28K
99336 746 658 $27K
99457 1,107 1,036 $22K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 724 666 $18K
99458 1,107 1,036 $17K
99443 429 401 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 275 264 $3K
90686 314 309 $2K
99397 16 16 $2K
96132 43 43 $1K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 123 122 $822.25
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 13 13 $546.82
99335 14 14 $513.73
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 34 34 $447.31
99490 Ccm add 20min 47 47 $441.18
G0008 Administration of influenza virus vaccine 272 267 $371.46
G0444 Annual depression screening, 5 to 15 minutes 314 310 $274.27
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 187 187 $262.03
96138 29 29 $113.21
93000 16 16 $87.03
99453 14 14 $2.10