Medicaid Provider Spending

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

FAMILY AND INTERNAL MEDICINE OF DIXWELL AVENUE

NPI: 1962681684 · HAMDEN, CT 06514 · Internal Medicine Physician · NPI assigned 10/30/2007

$2.51M
Total Medicaid Paid
79,533
Total Claims
66,973
Beneficiaries
50
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKUMAR, BABU (PHYSICIAN)
NPI Enumeration Date10/30/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,308 $524K
2019 17,053 $437K
2020 8,443 $320K
2021 7,519 $302K
2022 8,957 $348K
2023 10,140 $313K
2024 9,113 $261K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36,184 29,187 $1.65M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,950 8,597 $497K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 737 698 $78K
93000 6,743 5,944 $69K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 617 546 $49K
99490 Ccm add 20min 3,753 3,733 $43K
96127 2,217 2,046 $33K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 235 228 $25K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,968 1,936 $22K
90674 444 404 $7K
99442 295 264 $7K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 214 189 $4K
99491 Ccm add 20min 193 193 $3K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 2,941 1,921 $3K
90756 190 137 $3K
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 266 263 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 455 409 $2K
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 247 242 $2K
99497 144 132 $711.44
90688 59 55 $695.76
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 86 41 $636.84
G0180 Physician or allowed practitioner 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 50 49 $470.64
99397 64 63 $419.61
99495 12 12 $401.85
90694 80 78 $358.40
99487 Ccm add 20min 12 12 $149.56
82272 50 50 $102.63
86580 12 12 $75.12
90662 18 17 $49.03
81002 2,678 2,381 $47.12
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 223 207 $43.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 176 172 $0.01
1125F 1,327 1,196 $0.00
1126F 2,093 1,955 $0.00
3017F 334 324 $0.00
1170F 528 488 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 443 430 $0.00
3008F 376 345 $0.00
3044F 80 77 $0.00
1111F 12 12 $0.00
G0008 Administration of influenza virus vaccine 206 202 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 13 13 $0.00
G0444 Annual depression screening, 5 to 15 minutes 242 223 $0.00
1159F 529 500 $0.00
1158F 52 47 $0.00
1160F 530 501 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 402 390 $0.00
90653 20 20 $0.00
3045F 20 19 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 13 13 $0.00