Medicaid Provider Spending

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

CARROLL, JAMES

NPI: 1962439695 · SPRINGFIELD, MA 01104 · Emergency Medicine Physician · NPI assigned 06/27/2006

$413K
Total Medicaid Paid
6,555
Total Claims
5,263
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 557 $42K
2019 819 $66K
2020 1,568 $99K
2021 2,141 $124K
2022 964 $51K
2023 429 $26K
2024 77 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 1,833 1,824 $88K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,815 1,032 $86K
99284 Emergency department visit for the evaluation and management, high severity 933 928 $83K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,081 700 $62K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 449 447 $58K
99215 Prolong outpt/office vis 130 82 $15K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 159 99 $13K
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 75 71 $4K
99220 13 13 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity 13 13 $406.90
81025 26 26 $166.46
84460 14 14 $65.11
84450 14 14 $63.64