Medicaid Provider Spending

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

MID AMERICA SENIOR MANAGEMENT LLC

NPI: 1942356977 · TONGANOXIE, KS 66086 · Internal Medicine Physician · NPI assigned 01/25/2007

$201K
Total Medicaid Paid
16,609
Total Claims
14,707
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialMATHES, ANNA (PRACTICE ADMINISTRATOR)
NPI Enumeration Date01/25/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,471 $55K
2019 3,064 $43K
2020 2,878 $33K
2021 1,774 $21K
2022 1,805 $24K
2023 1,082 $17K
2024 535 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 9,433 8,095 $139K
99308 Subsequent nursing facility care, per day, straightforward 5,717 5,363 $52K
99335 513 444 $4K
99306 Prolong nursin fac eval 15m 194 174 $3K
99318 176 171 $2K
99310 Prolong nursin fac eval 15m 144 136 $1K
99490 Ccm add 20min 221 158 $340.55
99336 14 12 $170.24
99307 15 15 $78.36
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 152 114 $4.78
G8754 Most recent diastolic blood pressure < 90 mmhg 12 12 $0.00
G0182 Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved in the patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month, 30 minutes or more 18 13 $0.00