Medicaid Provider Spending

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

SUM, ADA

NPI: 1962667030 · URBANA, IL 61802 · Pediatrics Physician · NPI assigned 07/28/2008

$605K
Total Medicaid Paid
10,451
Total Claims
9,712
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,051 $50K
2019 1,685 $89K
2020 1,510 $75K
2021 1,516 $88K
2022 1,512 $96K
2023 1,477 $93K
2024 1,700 $113K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,331 3,991 $204K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,069 1,967 $142K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,617 1,573 $124K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,058 976 $80K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 346 304 $27K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 192 179 $15K
92551 579 510 $8K
99383 46 37 $4K
99173 175 147 $1K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 38 28 $369.32