Medicaid Provider Spending

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

MARK A ROBERTS MD PC

NPI: 1952466211 · EVERGREEN, AL 36401 · Family Medicine Physician · NPI assigned 12/27/2006

$1.03M
Total Medicaid Paid
49,181
Total Claims
43,613
Beneficiaries
49
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPOWELL, JAMES (CLINIC MANAGER)
NPI Enumeration Date12/27/2006

Related Entities

Other providers sharing the same authorized official: POWELL, JAMES

ProviderCityStateTotal Paid
LONG ISLAND SELECT HEALTHCARE, INC. CENTRAL ISLIP NY $13.95M
LONG ISLAND SELECT HEALTHCARE, INC. HAUPPAUGE NY $7.41M
LONG ISLAND SELECT HEALTHCARE, INC. RIVERHEAD NY $5.98M
LONG ISLAND SELECT HEALTHCARE, INC. CENTRAL ISLIP NY $2.94M
PREFERRED CHOICE HEALTHCARE SHELBY NC $2.85M
LONG ISLAND SELECT HEALTHCARE, INC. PORT JEFFERSON STATION NY $1.01M
VISION TODAY PLLC JACKSONVILLE FL $2K
FAMILY VISION CARE PA JACKSONVILLE FL $2K
LONG ISLAND SELECT HEALTHCARE, INC. SMITHTOWN NY $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,939 $99K
2019 9,128 $161K
2020 7,186 $169K
2021 7,941 $184K
2022 6,737 $171K
2023 6,211 $155K
2024 3,039 $89K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,393 12,297 $688K
99284 Emergency department visit for the evaluation and management, high severity 1,595 1,439 $115K
99309 Subsequent nursing facility care, per day, low to moderate complexity 5,723 5,034 $59K
99222 Initial hospital care, per day, moderate complexity 599 566 $29K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,488 4,936 $28K
99215 Prolong outpt/office vis 493 451 $25K
99232 Subsequent hospital care, per day, moderate complexity 876 504 $24K
99238 Hospital discharge day management, 30 minutes or less 666 623 $19K
J1030 Injection, methylprednisolone acetate, 40 mg 3,449 3,191 $10K
J1040 Injection, methylprednisolone acetate, 80 mg 818 765 $4K
82962 3,462 3,134 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 119 111 $3K
90674 151 124 $3K
90686 360 307 $3K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 3,459 3,192 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 129 120 $1K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 29 29 $1K
36415 Collection of venous blood by venipuncture 1,243 1,162 $1K
0012A 45 45 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 30 30 $1K
0011A 48 48 $895.52
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 16 15 $832.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,582 3,301 $756.84
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 352 292 $745.00
90682 55 55 $587.07
82947 453 410 $512.00
90756 93 68 $501.38
99239 Hospital discharge day management, more than 30 minutes 41 36 $483.00
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 74 62 $439.36
90688 31 30 $412.64
0064A 12 12 $320.00
81002 120 116 $180.00
J0696 Injection, ceftriaxone sodium, per 250 mg 214 206 $175.07
90661 34 14 $147.40
90687 22 17 $98.95
90694 45 43 $75.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 18 16 $63.20
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 15 15 $30.39
90662 84 80 $0.00
J3300 Injection, triamcinolone acetonide, preservative free, 1 mg 33 28 $0.00
3078F 66 65 $0.00
3077F 17 17 $0.00
3079F 12 12 $0.00
G0008 Administration of influenza virus vaccine 408 401 $0.00
3044F 36 26 $0.00
91301 101 96 $0.00
3075F 15 15 $0.00
91306 12 12 $0.00
3074F 45 45 $0.00