Medicaid Provider Spending

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

1942241351

NPI: 1942241351

Deactivated NPI · This NPI was deactivated on 07/21/2025.
$12.22M
Total Medicaid Paid
364,901
Total Claims
319,305
Beneficiaries
228
Codes Billed
2018-01
First Month
2024-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 89,775 $2.39M
2019 59,040 $2.27M
2020 52,253 $2.04M
2021 65,686 $2.84M
2022 55,312 $1.81M
2023 38,252 $731K
2024 4,583 $137K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 67,212 56,542 $3.52M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 25,535 21,945 $1.94M
90837 Psychotherapy, 53 minutes with patient 4,765 3,173 $398K
77067 Screening mammography, bilateral, including computer-aided detection 2,322 2,232 $342K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 6,526 6,336 $341K
80053 Comprehensive metabolic panel 15,104 13,808 $306K
88305 Level IV - Surgical pathology, gross and microscopic examination 9,985 5,210 $296K
92340 Fitting of spectacles, except for aphakia; monofocal 5,771 5,459 $186K
90834 Psychotherapy, 45 minutes with patient 2,681 1,733 $170K
76830 Ultrasound, transvaginal 1,140 1,082 $161K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4,312 4,120 $153K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 6,523 6,338 $152K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 3,613 1,865 $145K
80061 Lipid panel 7,933 7,690 $140K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 17,463 14,958 $126K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,620 1,559 $125K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,269 1,211 $122K
71046 Radiologic examination, chest; 2 views 5,493 5,132 $118K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 7,820 7,441 $116K
73562 3,165 2,596 $113K
84443 Thyroid stimulating hormone (TSH) 5,546 5,352 $106K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2,591 2,519 $104K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,609 1,558 $103K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,773 1,573 $103K
73630 3,596 2,991 $98K
80050 General health panel 892 858 $97K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,313 1,213 $95K
36415 Collection of venous blood by venipuncture 33,549 29,974 $87K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,196 1,145 $79K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,403 1,325 $77K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,184 2,129 $76K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,969 1,896 $75K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,261 1,183 $72K
83036 Hemoglobin; glycosylated (A1C) 5,888 5,734 $72K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,285 1,224 $72K
73610 2,298 2,050 $70K
80048 Basic metabolic panel (calcium, ionized) 4,661 4,272 $61K
73110 1,740 1,425 $59K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,164 1,149 $56K
73130 1,684 1,318 $54K
90791 Psychiatric diagnostic evaluation 527 512 $53K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 642 620 $52K
76705 Ultrasound, abdominal, real time with image documentation; limited 683 650 $52K
90460 Immunization administration through 18 years of age via any route, first or only component 1,332 1,263 $49K
76801 468 429 $46K
73030 1,687 1,483 $45K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 867 848 $43K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 343 303 $43K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 630 606 $42K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,617 1,414 $42K
77063 Screening digital breast tomosynthesis, bilateral 2,278 2,191 $37K
92015 Determination of refractive state 3,261 3,128 $37K
82728 1,798 1,702 $36K
86803 1,921 1,871 $34K
90472 Immunization administration, each additional vaccine (list separately) 2,315 2,021 $34K
82607 1,488 1,444 $33K
83013 142 140 $32K
73502 771 709 $32K
99308 Subsequent nursing facility care, per day, straightforward 956 868 $31K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 853 779 $29K
73140 862 728 $28K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,306 490 $22K
90686 3,709 3,574 $22K
76536 200 187 $22K
99215 Prolong outpt/office vis 272 242 $21K
86780 1,398 1,330 $21K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 214 191 $21K
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 218 216 $20K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 260 245 $18K
87086 Culture, bacterial; quantitative colony count, urine 1,673 1,573 $18K
X5622 1,077 1,041 $17K
97161 381 359 $17K
83550 1,738 1,651 $16K
0002A 486 478 $16K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 265 236 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,561 1,303 $15K
86140 2,408 2,224 $15K
99309 Subsequent nursing facility care, per day, low to moderate complexity 175 152 $13K
87340 1,228 1,194 $13K
0240U 85 82 $13K
0001A 501 494 $13K
76770 178 174 $13K
84702 507 386 $12K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 72 69 $12K
83540 1,773 1,684 $12K
17110 160 141 $11K
82043 1,262 1,234 $11K
74018 525 490 $11K
73080 446 375 $11K
80076 354 303 $11K
74019 429 400 $10K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 1,114 1,051 $10K
J1050 Injection, medroxyprogesterone acetate, 1 mg 190 186 $10K
90715 786 736 $10K
88342 445 321 $10K
87077 525 470 $9K
81001 2,836 2,637 $9K
90651 514 488 $9K
82570 1,658 1,597 $9K
83970 147 141 $8K
90662 180 161 $7K
V2020 Frames, purchases 255 200 $7K
87186 519 484 $7K
90670 1,104 1,064 $6K
84439 786 735 $6K
81025 947 897 $6K
86480 53 45 $6K
82746 289 275 $6K
84403 157 151 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 123 123 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 385 343 $6K
85027 1,043 995 $6K
86038 299 289 $6K
90792 Psychiatric diagnostic evaluation with medical services 38 36 $6K
88307 292 175 $5K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 122 107 $5K
84153 222 213 $5K
80069 191 176 $5K
87210 883 844 $5K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 58 58 $5K
85610 636 475 $4K
72100 135 128 $4K
72170 231 212 $4K
99238 Hospital discharge day management, 30 minutes or less 116 108 $4K
83735 565 428 $4K
73590 188 160 $4K
87070 258 243 $4K
86706 288 270 $4K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 85 84 $4K
82784 142 135 $4K
V2784 Lens, polycarbonate or equal, any index, per lens 83 75 $4K
83690 370 357 $3K
0054A 83 83 $3K
99307 144 132 $3K
92567 321 293 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 65 53 $3K
97035 358 159 $3K
92341 90 88 $3K
86850 125 121 $3K
88341 50 28 $3K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 53 49 $3K
84165 212 196 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 136 121 $2K
72110 49 49 $2K
81003 1,168 1,057 $2K
83615 326 273 $2K
0071A 56 54 $2K
86762 180 167 $2K
82274 44 44 $2K
99188 452 427 $2K
86592 358 348 $2K
84481 93 85 $2K
81015 416 403 $2K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 276 268 $2K
86431 166 164 $2K
99443 28 27 $2K
93971 14 13 $2K
88304 436 358 $2K
0004A 43 43 $1K
85652 453 421 $1K
82565 222 191 $1K
99384 14 14 $1K
92551 499 484 $1K
73090 73 52 $1K
73560 56 50 $1K
90785 129 119 $1K
84460 177 156 $1K
0072A 28 28 $1K
84156 251 237 $1K
86704 71 69 $1K
83001 52 52 $1K
87150 27 27 $1K
84550 181 164 $1K
G0008 Administration of influenza virus vaccine 315 303 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 114 107 $935.94
82670 29 26 $926.93
88108 42 38 $840.79
36416 340 247 $818.41
72082 14 14 $764.53
99442 26 16 $657.32
84146 30 25 $594.68
92557 24 24 $579.25
83880 12 12 $553.35
90734 318 312 $527.57
87205 93 83 $501.46
82550 42 39 $499.72
90474 40 37 $495.21
98968 24 12 $452.85
72040 15 15 $429.47
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 100 97 $407.17
0031A 26 26 $404.55
G0141 Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician 176 165 $391.78
77072 25 25 $381.84
Q3014 Telehealth originating site facility fee 227 203 $348.10
71045 Radiologic examination, chest; single view 13 12 $279.66
84484 14 13 $274.67
96110 Developmental screening, with scoring and documentation, per standardized instrument 42 39 $270.71
84450 39 38 $255.42
88300 102 100 $230.98
99173 494 480 $228.90
99441 28 16 $208.14
88141 13 12 $182.79
88302 17 13 $127.54
85651 47 39 $121.73
86900 122 120 $114.59
86901 109 107 $104.54
85018 27 24 $71.50
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 12 12 $71.38
82950 12 12 $66.26
81002 13 12 $47.26
90461 16 16 $38.21
85379 13 12 $35.11
91307 100 90 $0.00
90698 887 845 $0.00
90680 249 236 $0.00
90744 183 177 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 13 12 $0.00
97014 136 64 $0.00
90696 46 43 $0.00
91305 152 147 $0.00
92310 21 15 $0.00
88311 19 14 $0.00
91303 25 25 $0.00
91300 1,193 1,057 $0.00
90633 798 784 $0.00
90710 380 371 $0.00
90685 131 123 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 14 14 $0.00