Medicaid Provider Spending

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

MOULDON, ANDREA

NPI: 1942508783 · SAINT LOUIS, MO 63115 · Pediatric Nurse Practitioner · NPI assigned 03/02/2011

$386K
Total Medicaid Paid
7,323
Total Claims
7,162
Beneficiary Records
21
Codes Billed
2018-01
First Month
2020-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,981 $165K
2019 2,981 $152K
2020 1,361 $68K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 745 725 $74K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 654 651 $67K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 807 787 $66K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 644 624 $63K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,002 967 $52K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 327 324 $34K
90698 629 620 $11K
96161 243 234 $5K
90670 654 637 $3K
90686 360 357 $2K
90744 303 297 $2K
99381 13 13 $1K
90681 257 253 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 46 46 $983.26
99173 251 248 $699.51
90633 136 136 $691.41
90651 96 93 $475.43
90734 82 79 $398.24
90715 29 28 $319.15
92551 13 13 $147.16
90620 32 30 $134.99