Medicaid Provider Spending

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

SOUTH NASSAU PHYSICIAN PRACTICE PC

NPI: 1962652685 · VALLEY STREAM, NY 11580 · Surgery Physician · NPI assigned 09/30/2008

$7K
Total Medicaid Paid
264
Total Claims
222
Beneficiaries
4
Codes Billed
2019-05
First Month
2023-01
Last Month

Provider Details

Authorized OfficialDATTA, RAJIV (DIRECTOR)
NPI Enumeration Date09/30/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $530.27
2020 134 $2K
2021 38 $1K
2022 57 $2K
2023 23 $684.11

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99219 100 100 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 125 83 $2K
99217 27 27 $714.30
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12 12 $530.27