Medicaid Provider Spending

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

SUBYANTORO, TAMARRA

NPI: 1942842018 · PEORIA, IL 61614 · Family Nurse Practitioner · NPI assigned 10/10/2019

$259K
Total Medicaid Paid
5,408
Total Claims
5,083
Beneficiaries
15
Codes Billed
2021-08
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 347 $11K
2022 1,432 $63K
2023 1,685 $72K
2024 1,944 $113K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,590 1,460 $123K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,339 2,247 $103K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 359 324 $14K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 319 306 $5K
87428 64 61 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 87 82 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 106 104 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 28 28 $1K
81025 198 177 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 20 20 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 23 23 $719.90
81002 218 198 $561.60
90686 26 24 $384.44
J1100 Injection, dexamethasone sodium phosphate, 1 mg 19 17 $19.69
36415 Collection of venous blood by venipuncture 12 12 $3.00