Medicaid Provider Spending

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

PALU-AY, PEDRO

NPI: 1942287230 · ZION, IL 60099 · Family Medicine Physician · NPI assigned 12/28/2005

$342K
Total Medicaid Paid
9,145
Total Claims
7,428
Beneficiaries
21
Codes Billed
2018-01
First Month
2021-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,357 $96K
2019 2,768 $105K
2020 3,155 $118K
2021 865 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,218 5,727 $307K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 101 99 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 86 84 $7K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 350 257 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 262 249 $4K
0001A 91 61 $3K
99173 276 257 $2K
0002A 51 39 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 83 77 $1K
90734 56 53 $1K
90688 75 61 $955.89
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 18 14 $581.70
90651 40 36 $467.67
90715 47 39 $369.13
99442 22 13 $39.81
1160F 84 82 $0.24
3074F 56 55 $0.14
3078F 44 44 $0.10
1036F 56 56 $0.00
3008F 83 82 $0.00
G0444 Annual depression screening, 5 to 15 minutes 46 43 $0.00