Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NPI deactivated

1952328569

1952328569 was paid $11.03M by Medicaid between Jan 2018 and Aug 2022, across 179 billing codes. Its largest line is 99284, emergency room visit (serious) — 18% of everything it billed.

33Billing provider info1952328569
33aNPI1952328569
33bProvider type—
28Total paid$11.03M
24GClaims196,982
24DCodes billed179
24AFirst – last monthJan 2018 – Aug 2022
Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201885,756$5.03M
201994,276$5.24M
20206,818$265K
20216,863$323K
20223,269$167K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 18% 3,861 2,824 $1.96M
G0378 Hospital observation service, per hour 14% 706 500 $1.51M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 5.1% 2,372 1,922 $568K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4.2% 5,553 4,318 $460K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 4.0% 482 344 $444K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4.0% 5,213 4,020 $436K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 3.5% 2,237 1,332 $385K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3.0% 2,609 1,598 $327K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2.3% 3,537 3,132 $256K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2.2% 3,824 3,039 $238K
80061 Lipid panel 2.0% 7,812 6,159 $221K
84443 Thyroid stimulating hormone (TSH) 1.8% 5,521 4,391 $195K
167 more codes
80053 Comprehensive metabolic panel 1.7% 6,235 $190K
80050 General health panel 1.7% 2,664 $190K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.6% 10,504 $173K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1.5% 2,297 $170K
87481 1.5% 844 $169K
36415 Collection of venous blood by venipuncture 1.3% 32,488 $148K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1.2% 2,636 $129K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 1.1% 849 $124K
87536 1.0% 655 $116K
83036 Hemoglobin; glycosylated (A1C) <1% 4,762 $97K
80048 Basic metabolic panel (calcium, ionized) <1% 3,901 $94K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 1,242 $87K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 863 $77K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 1,303 $72K
93017 <1% 296 $71K
86780 <1% 2,328 $69K
87086 Culture, bacterial; quantitative colony count, urine <1% 3,999 $67K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 905 $66K
86803 <1% 2,110 $63K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 313 $60K
87522 Neg quan hep c or qual rna <1% 659 $59K
86003 <1% 236 $54K
82607 <1% 1,502 $48K
85027 <1% 3,353 $46K
82728 <1% 1,602 $46K
84403 <1% 789 $42K
83013 <1% 274 $38K
86480 <1% 288 $37K
86360 <1% 339 $33K
83655 <1% 1,314 $32K
80076 <1% 1,836 $32K
87480 <1% 756 $32K
87510 <1% 753 $31K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 383 $31K
87660 <1% 752 $31K
84153 <1% 807 $31K
86618 <1% 865 $31K
87340 <1% 1,401 $30K
84439 <1% 1,578 $30K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 314 $28K
82565 <1% 2,451 $26K
86359 <1% 338 $26K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 145 $26K
85610 <1% 3,035 $25K
86481 <1% 153 $24K
97803 <1% 311 $22K
86617 <1% 336 $22K
86706 <1% 963 $21K
83516 <1% 620 $21K
83970 <1% 248 $21K
81001 <1% 3,118 $21K
84270 <1% 458 $21K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 39 $20K
86038 <1% 737 $18K
82248 <1% 1,693 $18K
87088 <1% 1,037 $17K
84460 <1% 1,555 $17K
83540 <1% 1,266 $17K
82670 <1% 289 $17K
86140 <1% 1,525 $16K
84450 <1% 1,521 $16K
87186 <1% 871 $16K
83550 <1% 872 $16K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 171 $15K
85651 <1% 2,061 $15K
86762 <1% 499 $15K
86704 <1% 582 $15K
87077 <1% 731 $14K
82043 <1% 1,191 $14K
80051 <1% 978 $14K
83735 <1% 993 $14K
82746 <1% 461 $14K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 19 $14K
84481 <1% 371 $13K
80074 <1% 128 $13K
83001 <1% 328 $13K
84702 <1% 390 $13K
86787 <1% 455 $12K
86235 <1% 111 $12K
84520 <1% 1,433 $12K
86665 <1% 153 $12K
84146 <1% 287 $11K
82784 <1% 411 $10K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 24 $10K
84480 <1% 336 $10K
87070 <1% 526 $9K
84425 <1% 214 $9K
86696 <1% 141 $9K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 48 $8K
83721 <1% 421 $8K
83002 <1% 210 $8K
97804 <1% 112 $8K
81003 <1% 1,534 $8K
82570 <1% 701 $8K
82040 <1% 726 $7K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 43 $7K
87902 <1% 13 $7K
82550 <1% 484 $7K
86708 <1% 253 $6K
86765 <1% 231 $6K
82947 <1% 749 $6K
83690 <1% 407 $6K
86431 <1% 511 $6K
86735 <1% 212 $6K
86160 <1% 129 $6K
87640 <1% 81 $6K
84100 <1% 574 $6K
71046 Radiologic examination, chest; 2 views <1% 57 $6K
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous <1% 165 $5K
86200 <1% 196 $5K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 50 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 154 $5K
86664 <1% 150 $5K
84550 <1% 483 $5K
86039 <1% 188 $4K
86666 <1% 79 $4K
87641 <1% 59 $4K
87205 <1% 454 $4K
86663 <1% 150 $4K
83020 <1% 148 $4K
82310 <1% 373 $4K
86753 <1% 78 $4K
84703 <1% 249 $4K
86695 <1% 84 $4K
87529 <1% 27 $4K
82465 <1% 386 $3K
83718 <1% 203 $3K
82652 <1% 43 $3K
83615 <1% 269 $3K
84134 <1% 106 $3K
0002A <1% 77 $3K
86225 <1% 108 $3K
93299 <1% 12 $3K
85007 <1% 402 $3K
85730 <1% 221 $3K
82785 <1% 79 $3K
82150 <1% 188 $3K
82950 <1% 197 $2K
84156 <1% 245 $2K
83993 <1% 46 $2K
86256 <1% 74 $2K
87650 <1% 40 $2K
86850 <1% 222 $2K
86376 <1% 54 $2K
85018 <1% 325 $2K
85014 <1% 324 $2K
86901 <1% 254 $2K
86900 <1% 254 $2K
84075 <1% 120 $1K
82105 <1% 35 $1K
97161 <1% 13 $1K
85045 <1% 131 $1K
84436 <1% 73 $1K
80164 <1% 34 $1K
84478 <1% 73 $877.31
81025 <1% 67 $871.67
80178 <1% 64 $871.04
86308 <1% 64 $681.60
86592 <1% 70 $629.54
84132 <1% 59 $568.93
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 18 $443.88
82533 <1% 12 $436.02
82977 <1% 27 $402.00
84165 <1% 17 $375.70
83525 <1% 16 $363.16
0001A <1% 44 $359.04
84155 <1% 36 $271.80

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.