Medicaid Provider Spending

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

CORNERSTONE PULMONARY AND CRITICAL CARE ASSOCIATES, PLLC

NPI: 1932112620 · LEBANON, TN 37087 · Pulmonary Disease Physician · NPI assigned 08/14/2006

$85K
Total Medicaid Paid
25,466
Total Claims
22,437
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKEHINDE, MODUPE (SOLE MEMBER)
NPI Enumeration Date08/14/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,227 $15K
2019 4,769 $12K
2020 3,385 $10K
2021 3,513 $13K
2022 3,844 $12K
2023 3,215 $12K
2024 2,513 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,363 2,090 $54K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,381 1,286 $21K
94060 169 152 $3K
94729 196 179 $3K
99232 Subsequent hospital care, per day, moderate complexity 161 54 $2K
94726 105 97 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 42 26 $552.98
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) 29 26 $135.75
G9432 Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented 226 204 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 705 629 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 666 619 $0.00
G8924 Spirometry results documented (fev1/fvc < 70%) 879 769 $0.00
1036F 1,570 1,374 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 947 871 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 378 326 $0.00
G9521 Total number of emergency department visits and inpatient hospitalizations less than two in the past 12 months 255 233 $0.00
G8422 Bmi not documented, documentation the patient is not eligible for bmi calculation 35 32 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 2,298 2,017 $0.00
3023F 1,520 1,294 $0.00
4004F 887 753 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 3,149 2,785 $0.00
G9695 Long-acting inhaled bronchodilator prescribed 2,726 2,432 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 1,520 1,362 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,259 2,827 $0.00