Medicaid Provider Spending

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

EBENEZER ODOOM MD PC

NPI: 1942642038 · QUEENS VILLAGE, NY 11427 · Pediatrics Physician · NPI assigned 07/18/2013

$133K
Total Medicaid Paid
9,293
Total Claims
8,221
Beneficiaries
17
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialODOOM, EBENEZER (PRESIDENT)
NPI Enumeration Date07/18/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,074 $21K
2019 2,361 $24K
2020 2,005 $29K
2021 1,514 $30K
2022 1,577 $19K
2023 762 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,929 3,201 $117K
93000 948 946 $7K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 81 81 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 90 84 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 17 17 $904.06
36415 Collection of venous blood by venipuncture 1,952 1,909 $549.16
90686 25 25 $461.81
3078F 264 233 $429.02
3074F 231 206 $392.05
99051 79 71 $175.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 27 27 $128.08
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 425 369 $94.03
3044F 13 13 $60.00
3079F 25 25 $54.51
1159F 160 139 $10.00
1160F 145 129 $5.00
3008F 882 746 $0.02