Medicaid Provider Spending

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

SOUTH NASSAU FAMILY MEDICINE PC

NPI: 1902891781 · OCEANSIDE, NY 11572 · Family Medicine Physician · NPI assigned 09/16/2005

$156K
Total Medicaid Paid
3,694
Total Claims
3,496
Beneficiaries
6
Codes Billed
2018-01
First Month
2019-10
Last Month

Provider Details

Authorized OfficialIPPOLITO, SCOTT (CHAIRMAN)
NPI Enumeration Date09/16/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,088 $88K
2019 1,606 $68K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,210 3,047 $132K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 312 307 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 94 65 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 50 49 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14 14 $809.27
99282 Emergency department visit for the evaluation and management, low to moderate severity 14 14 $525.03