Medicaid Provider Spending

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

JAMES, LAURENCE

NPI: 1932587342 · SWEETWATER, TN 37874 · Internal Medicine Physician · NPI assigned 05/18/2015

$84K
Total Medicaid Paid
14,393
Total Claims
11,484
Beneficiaries
22
Codes Billed
2019-02
First Month
2022-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,326 $15K
2020 1,641 $22K
2021 5,228 $25K
2022 6,198 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,664 1,455 $53K
99232 Subsequent hospital care, per day, moderate complexity 1,098 325 $13K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,722 2,229 $9K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 232 201 $5K
99442 116 99 $2K
99223 Prolong inpt eval add15 m 13 12 $582.38
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 13 $429.04
99239 Hospital discharge day management, more than 30 minutes 12 12 $314.17
99308 Subsequent nursing facility care, per day, straightforward 13 12 $93.96
G8754 Most recent diastolic blood pressure < 90 mmhg 907 789 $0.00
3017F 675 552 $0.00
1126F 383 337 $0.00
1123F 1,197 987 $0.00
1036F 760 644 $0.00
3044F 479 398 $0.00
1125F 826 699 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 14 12 $0.00
G9900 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified 535 440 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,269 1,026 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 745 652 $0.00
4004F 442 349 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 277 241 $0.00