Medicaid Provider Spending

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

CARMEN BAUTISTA-DATOR MD PC

NPI: 1912066242 · OSWEGO, NY 13126 · Internal Medicine Physician · NPI assigned 12/06/2006

$325K
Total Medicaid Paid
4,716
Total Claims
4,238
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBAUTISTA DATOR, CARMEN (PHYSICIAN)
NPI Enumeration Date12/06/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 279 $17K
2019 320 $28K
2020 1,094 $88K
2021 914 $73K
2022 867 $60K
2023 896 $41K
2024 346 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,082 1,829 $133K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,548 1,435 $130K
99442 322 290 $21K
99215 Prolong outpt/office vis 157 143 $18K
99443 120 114 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 58 58 $8K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $1K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 13 13 $589.80
93000 39 39 $511.10
99080 365 305 $0.00