Medicaid Provider Spending

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

PROSPECT FAMILY MEDICINE, PC

NPI: 1972664217 · PROSPECT, CT 06712 · Family Medicine Physician · NPI assigned 12/12/2006

$83K
Total Medicaid Paid
1,391
Total Claims
1,308
Beneficiaries
7
Codes Billed
2018-01
First Month
2019-02
Last Month

Provider Details

Authorized OfficialEDWARDS, DREW (OWNER)
NPI Enumeration Date12/12/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,257 $74K
2019 134 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 789 739 $46K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 496 465 $36K
90460 Immunization administration through 18 years of age via any route, first or only component 15 15 $333.60
90686 54 53 $114.18
92555 12 12 $104.80
99173 12 12 $76.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 12 $0.00