Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › MIDDLETOWN › MIDDLETOWN MEDICAL PC

MIDDLETOWN MEDICAL PC

NPI: 1902855828 · MIDDLETOWN, NY 10940 · Family Medicine Physician · NPI assigned 05/08/2006

$49.28M
Total Medicaid Paid
934,777
Total Claims
875,676
Beneficiaries
308
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGULATI, RAJAN (CEO)
NPI Enumeration Date05/08/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 59,997 $3.00M
2019 72,591 $3.51M
2020 81,964 $4.94M
2021 133,552 $8.72M
2022 172,844 $10.28M
2023 250,902 $11.25M
2024 162,927 $7.58M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 156,362 142,159 $19.12M
S9083 Global fee urgent care centers 51,057 49,354 $6.77M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 52,191 48,977 $4.41M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 11,779 11,727 $2.13M
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 23,825 23,107 $1.68M
J0585 Injection, onabotulinumtoxina, 1 unit 1,571 789 $920K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7,254 7,226 $870K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,381 4,369 $829K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 16,237 15,991 $826K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 24,052 23,570 $699K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 14,346 13,947 $614K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,047 5,039 $491K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 9,362 4,639 $423K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 21,920 21,281 $407K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 19,645 19,365 $378K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,901 3,899 $366K
36475 226 164 $338K
90460 Immunization administration through 18 years of age via any route, first or only component 15,962 15,713 $317K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,593 2,581 $305K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,926 2,922 $289K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,985 2,940 $269K
99497 3,629 3,618 $260K
37241 42 31 $253K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 814 813 $214K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 1,644 1,627 $204K
87634 5,555 5,447 $196K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,620 1,607 $182K
64615 994 994 $174K
99215 Prolong outpt/office vis 866 804 $167K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 7,831 7,809 $160K
80061 Lipid panel 15,525 15,440 $136K
93000 8,717 8,591 $131K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 28,407 27,787 $130K
93970 617 610 $124K
84443 Thyroid stimulating hormone (TSH) 10,790 10,746 $123K
83036 Hemoglobin; glycosylated (A1C) 17,151 17,085 $121K
93971 1,040 887 $120K
99051 8,495 8,217 $117K
97799 2,066 859 $102K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 12,892 6,483 $99K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,304 1,210 $98K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,808 1,756 $97K
99232 Subsequent hospital care, per day, moderate complexity 1,137 421 $87K
36415 Collection of venous blood by venipuncture 51,633 49,254 $84K
A4550 Surgical trays 303 289 $84K
80053 Comprehensive metabolic panel 10,932 10,804 $83K
82607 7,983 7,959 $83K
99441 1,512 1,425 $81K
86618 6,452 3,268 $80K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 3,097 3,097 $77K
99233 Prolong inpt eval add15 m 590 270 $76K
99442 696 676 $68K
93880 357 354 $68K
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) 4,035 3,732 $68K
99205 Prolong outpt/office vis 259 259 $64K
82746 6,271 6,257 $64K
93298 1,902 1,885 $63K
90792 Psychiatric diagnostic evaluation with medical services 301 298 $61K
92587 3,099 3,096 $59K
99223 Prolong inpt eval add15 m 282 243 $58K
95816 130 130 $58K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 3,446 3,444 $57K
95886 246 239 $54K
99406 3,352 2,966 $49K
99443 380 361 $49K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,530 2,982 $48K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 165 165 $47K
80048 Basic metabolic panel (calcium, ionized) 7,633 7,558 $46K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,844 776 $46K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,305 6,194 $46K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,231 678 $45K
88305 Level IV - Surgical pathology, gross and microscopic examination 825 820 $43K
76830 Ultrasound, transvaginal 371 371 $43K
93015 605 604 $43K
97161 509 507 $41K
92250 1,155 1,147 $41K
80050 General health panel 2,086 2,081 $41K
93923 314 312 $40K
90461 1,609 1,603 $36K
70551 Magnetic resonance imaging, brain; without contrast material 151 150 $36K
96127 6,334 5,470 $36K
82977 7,094 7,047 $36K
95812 90 90 $35K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,697 3,143 $34K
81002 16,911 16,523 $33K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,262 1,262 $32K
45380 Colonoscopy, flexible; with biopsy, single or multiple 105 105 $32K
0011A 803 803 $30K
80076 5,201 5,173 $30K
83615 7,080 7,033 $30K
37252 27 25 $29K
0012A 739 739 $28K
99173 8,178 8,151 $28K
92551 5,333 5,318 $27K
84439 4,209 4,191 $26K
84436 5,116 5,109 $25K
96111 167 157 $23K
84479 5,010 5,003 $23K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,541 2,425 $23K
36011 38 27 $22K
99498 355 355 $22K
90674 817 815 $21K
0001A 525 525 $21K
80305 2,622 2,197 $21K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 266 266 $21K
93925 74 74 $19K
99239 Hospital discharge day management, more than 30 minutes 168 162 $19K
0002A 453 453 $18K
86160 1,005 1,002 $18K
64400 113 100 $18K
36416 5,572 5,507 $17K
11721 423 421 $17K
71046 Radiologic examination, chest; 2 views 917 902 $17K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 129 129 $17K
20553 358 348 $16K
94729 244 244 $15K
84550 4,668 4,662 $15K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,511 1,495 $15K
94726 244 244 $15K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 37 37 $14K
83655 1,475 1,472 $13K
L3000 Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each 48 24 $13K
99385 88 88 $13K
94060 268 268 $13K
95819 27 27 $12K
80074 490 487 $12K
96112 81 81 $11K
82044 2,923 2,920 $11K
93241 36 34 $10K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,618 1,507 $10K
86225 962 957 $10K
0013A 242 242 $9K
86617 745 425 $9K
84481 705 700 $9K
83550 1,518 1,503 $8K
77067 Screening mammography, bilateral, including computer-aided detection 64 64 $8K
4124F 435 426 $8K
86140 2,091 2,071 $8K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 13 13 $7K
64405 123 110 $7K
85651 2,587 2,566 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 292 282 $7K
82728 759 746 $7K
93229 12 12 $7K
83540 1,506 1,493 $6K
81025 2,021 1,995 $6K
82962 2,839 2,766 $6K
80047 1,220 1,207 $6K
20610 86 82 $6K
86317 625 621 $5K
87428 326 326 $5K
92134 150 149 $5K
93299 38 37 $5K
90688 1,207 1,206 $5K
86769 162 161 $5K
93224 56 56 $5K
64450 104 93 $5K
99493 67 67 $5K
99050 321 317 $5K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,764 1,452 $4K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 370 120 $4K
73562 152 142 $4K
97014 666 263 $4K
11102 41 41 $4K
90620 110 110 $4K
92133 111 111 $4K
87807 522 502 $4K
99384 32 32 $4K
74177 Computed tomography, abdomen and pelvis; with contrast material 13 13 $4K
90836 35 33 $4K
71250 24 24 $4K
73630 132 95 $4K
94727 202 202 $3K
84153 289 288 $3K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 26 26 $3K
85018 1,931 1,924 $3K
96160 1,429 1,377 $3K
0003A 82 82 $3K
88342 100 99 $3K
77063 Screening digital breast tomosynthesis, bilateral 51 51 $3K
97803 361 359 $3K
99446 213 183 $2K
31231 12 12 $2K
97802 24 24 $2K
86235 54 54 $2K
90686 1,716 1,709 $2K
90697 41 41 $2K
95700 12 12 $2K
91322 16 16 $2K
99222 Initial hospital care, per day, moderate complexity 14 14 $2K
0071A 63 63 $2K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 12 12 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 15 15 $2K
99177 446 446 $2K
0052A 48 48 $2K
92002 26 25 $2K
83735 440 440 $2K
0072A 43 43 $2K
86038 235 235 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 159 159 $2K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 409 397 $2K
0054A 39 39 $2K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 28 28 $2K
76536 13 13 $2K
83970 44 43 $2K
99459 64 64 $1K
99382 13 13 $1K
91320 13 12 $1K
0004A 28 28 $1K
82043 275 272 $1K
72100 42 41 $1K
90651 229 227 $996.26
0134A 26 26 $991.63
99383 13 13 $962.30
0051A 21 21 $866.16
86200 79 79 $856.25
82570 262 262 $846.44
82550 303 295 $838.04
86703 137 136 $836.92
G0442 Annual alcohol misuse screening, 5 to 15 minutes 53 52 $791.64
73130 34 29 $790.89
86431 194 194 $789.84
0031A 15 15 $596.60
96161 196 196 $563.56
77080 15 15 $522.53
95012 24 24 $503.63
99401 25 25 $502.11
92557 12 12 $499.41
90661 131 131 $486.81
90480 29 28 $475.00
92563 12 12 $421.77
93244 20 18 $419.79
J1885 Injection, ketorolac tromethamine, per 15 mg 364 352 $414.99
95117 38 12 $412.60
90734 488 488 $393.51
A9576 Injection, gadoteridol, (prohance multipack), per ml 15 12 $374.50
J1040 Injection, methylprednisolone acetate, 80 mg 28 27 $342.66
93228 17 17 $318.71
86580 45 42 $270.67
82947 122 122 $267.45
G0444 Annual depression screening, 5 to 15 minutes 26 26 $258.00
84484 78 77 $255.55
86706 26 26 $239.35
84100 66 65 $234.08
97010 392 153 $233.18
73610 13 13 $231.91
88112 12 12 $229.83
93242 20 18 $223.82
83874 89 88 $204.13
86376 28 27 $196.56
82553 77 76 $190.73
73030 12 12 $186.06
88313 13 13 $171.38
85027 39 39 $159.20
T1013 Sign language or oral interpretive services, per 15 minutes 13 13 $155.21
82465 51 50 $151.13
85610 48 39 $137.36
84460 37 36 $136.50
J1030 Injection, methylprednisolone acetate, 40 mg 15 14 $130.40
86701 12 12 $113.88
86762 15 15 $108.00
J1010 Injection, methylprednisolone acetate, 1 mg 16 16 $102.05
51798 14 12 $101.02
86735 15 15 $97.95
86765 15 15 $96.60
90715 74 74 $77.05
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 15 15 $63.96
84450 25 24 $61.41
90656 94 93 $56.75
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 13 13 $41.62
83690 12 12 $41.40
G8709 Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne) 799 788 $17.50
83986 12 12 $14.32
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 12 12 $1.44
2001F 1,404 1,365 $0.00
3008F 16,036 14,884 $0.00
3080F 140 133 $0.00
3074F 828 770 $0.00
3079F 475 461 $0.00
1125F 31 30 $0.00
3044F 844 743 $0.00
2010F 451 449 $0.00
3075F 208 207 $0.00
90698 172 172 $0.00
2023F 386 359 $0.00
1034F 2,538 2,103 $0.00
1000F 100 99 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 61 61 $0.00
1031F 12 12 $0.00
90744 16 16 $0.00
1036F 17 16 $0.00
91301 66 66 $0.00
1160F 22,276 19,826 $0.00
1159F 22,302 19,855 $0.00
90670 422 422 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 785 737 $0.00
3077F 237 221 $0.00
4120F 93 90 $0.00
2014F 322 317 $0.00
3210F 352 348 $0.00
90633 41 41 $0.00
3078F 638 606 $0.00
3046F 115 99 $0.00
1032F 74 73 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 152 147 $0.00
3051F 76 67 $0.00
90681 27 27 $0.00
90655 12 12 $0.00