Medicaid Provider Spending

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

OPTUM MEDICAL CARE, P.C.

NPI: 1982643003 · MOUNT KISCO, NY 10549 · Hematology & Oncology Physician · NPI assigned 06/05/2006

$105.26M
Total Medicaid Paid
1,342,057
Total Claims
1,277,584
Beneficiaries
368
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNASSER, JONATHAN (PRESIDENT OPTUM TRI STATE)
NPI Enumeration Date06/05/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 36,615 $2.79M
2019 72,455 $4.89M
2020 107,499 $7.26M
2021 157,886 $12.95M
2022 269,549 $22.42M
2023 406,657 $32.87M
2024 291,396 $22.09M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 290,515 274,929 $34.38M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 95,086 91,023 $15.91M
88305 Level IV - Surgical pathology, gross and microscopic examination 13,972 13,842 $3.06M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16,849 16,830 $2.62M
76641 11,937 11,806 $2.57M
77067 Screening mammography, bilateral, including computer-aided detection 13,526 13,521 $2.48M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 9,299 9,280 $2.05M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13,630 13,624 $1.90M
87631 10,905 10,735 $1.88M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12,176 12,163 $1.72M
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 15,922 15,115 $1.46M
90460 Immunization administration through 18 years of age via any route, first or only component 74,488 73,651 $1.36M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 8,048 7,099 $1.34M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 10,396 10,069 $1.31M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 23,097 22,801 $1.31M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7,806 7,800 $1.17M
0202U Oncology (prostate), multianalyte, gene expression profiling 2,611 2,554 $1.04M
76700 Ultrasound, abdominal, real time with image documentation; complete 6,381 6,377 $972K
77063 Screening digital breast tomosynthesis, bilateral 12,951 12,948 $961K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 6,006 5,899 $944K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 27,286 26,822 $883K
92060 11,146 11,050 $869K
76819 Fetal biophysical profile; without non-stress testing 6,529 4,903 $831K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 18,556 18,321 $764K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 18,545 18,311 $764K
31231 2,389 2,306 $667K
76830 Ultrasound, transvaginal 3,614 3,568 $628K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 11,249 4,471 $589K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3,354 3,295 $530K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,198 6,939 $508K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 11,601 11,542 $482K
99215 Prolong outpt/office vis 2,027 1,864 $478K
A4550 Surgical trays 1,942 1,462 $464K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 3,549 3,471 $450K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2,371 2,371 $446K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 10,047 3,957 $415K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 4,468 4,362 $387K
71046 Radiologic examination, chest; 2 views 8,315 8,298 $375K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,120 3,098 $361K
76536 2,455 2,426 $360K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,414 2,226 $354K
81513 4,265 4,188 $349K
88174 11,928 11,867 $349K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,234 1,181 $348K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 8,503 8,209 $344K
76813 1,985 1,985 $343K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,739 2,731 $334K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 2,747 2,721 $334K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,320 1,320 $330K
70551 Magnetic resonance imaging, brain; without contrast material 1,120 1,116 $270K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 8,930 8,541 $267K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,245 2,244 $241K
76801 1,379 1,368 $234K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 24,684 23,497 $234K
92250 6,198 5,575 $227K
74183 547 547 $224K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 867 866 $204K
77065 Tomosynthesis, mammo 1,143 1,110 $204K
80053 Comprehensive metabolic panel 15,407 15,107 $204K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 503 503 $202K
72197 401 401 $179K
99205 Prolong outpt/office vis 603 603 $179K
99233 Prolong inpt eval add15 m 1,196 501 $178K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,154 1,152 $178K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 887 885 $175K
17110 1,101 945 $172K
87428 3,874 3,810 $171K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 618 614 $168K
92557 3,478 3,433 $167K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 960 959 $164K
73630 3,377 2,790 $158K
80061 Lipid panel 10,548 10,526 $155K
84443 Thyroid stimulating hormone (TSH) 7,403 7,348 $153K
92567 6,782 6,685 $152K
87481 4,280 4,125 $151K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 563 563 $149K
92551 20,625 20,618 $146K
77066 Tomosynthesis, mammo 650 643 $142K
92015 Determination of refractive state 10,568 10,555 $139K
95117 7,677 3,967 $131K
92134 2,413 2,190 $122K
73562 2,070 1,718 $113K
75574 342 339 $106K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 812 792 $105K
76770 709 708 $103K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3,515 3,510 $102K
90461 5,627 5,601 $102K
59426 1,063 649 $100K
19083 130 126 $99K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,224 6,068 $95K
00731 398 392 $94K
78815 Positron emission tomography (PET) for limited area imaging 72 72 $93K
96110 Developmental screening, with scoring and documentation, per standardized instrument 10,106 9,708 $90K
93000 4,344 4,294 $89K
96127 18,221 18,187 $89K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12,424 12,296 $88K
71250 566 566 $87K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 2,602 2,589 $80K
84439 7,421 7,357 $78K
92588 1,892 1,889 $75K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 592 590 $74K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 138 138 $72K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 132 131 $67K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,200 472 $67K
80050 General health panel 1,897 1,893 $66K
76642 585 543 $66K
73610 1,257 1,138 $63K
72100 1,176 1,176 $62K
77080 1,250 1,249 $61K
92082 1,147 1,147 $60K
36415 Collection of venous blood by venipuncture 71,037 67,435 $60K
92552 1,130 1,129 $56K
73030 1,280 1,125 $56K
41010 159 159 $51K
82728 2,789 2,777 $47K
73130 882 728 $46K
73221 159 157 $42K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,200 1,177 $42K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 2,320 939 $41K
70486 234 234 $41K
74177 Computed tomography, abdomen and pelvis; with contrast material 102 102 $40K
99232 Subsequent hospital care, per day, moderate complexity 537 171 $40K
67028 Intravitreal injection of a pharmacologic agent 298 255 $39K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,349 1,348 $39K
83036 Hemoglobin; glycosylated (A1C) 4,114 4,102 $37K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 305 262 $36K
92587 2,107 2,100 $35K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 148 148 $35K
00811 168 160 $35K
77072 792 792 $29K
99385 166 166 $29K
72141 114 114 $27K
77062 341 339 $26K
88342 130 128 $25K
97530 Therapeutic activities, direct patient contact, each 15 minutes 214 92 $25K
82607 1,681 1,680 $24K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,631 808 $24K
90686 16,211 16,187 $24K
81003 12,472 11,685 $24K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 199 199 $24K
31575 121 121 $23K
94010 739 671 $23K
88142 960 956 $23K
99459 732 718 $23K
88141 661 661 $22K
83550 1,992 1,980 $21K
A9575 Injection, gadoterate meglumine, 0.1 ml 1,751 1,559 $21K
99051 2,491 2,479 $21K
00142 173 169 $21K
73620 487 387 $20K
86769 374 374 $20K
81002 4,708 3,705 $20K
74178 42 42 $20K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 54 53 $20K
81025 2,330 2,260 $19K
72040 358 358 $18K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 57 57 $18K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 184 101 $17K
90472 Immunization administration, each additional vaccine (list separately) 1,772 1,768 $17K
20610 192 187 $17K
69210 356 341 $17K
99173 20,998 20,934 $17K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 37 37 $16K
87086 Culture, bacterial; quantitative colony count, urine 1,526 1,471 $14K
0001A 259 258 $14K
0002A 257 256 $14K
00812 67 67 $14K
92568 808 808 $13K
00170 Anesthesia for intraoral procedures, including biopsy 66 66 $13K
73110 253 216 $13K
72110 203 203 $13K
86803 795 792 $13K
S9083 Global fee urgent care centers 39 39 $12K
90674 4,506 4,491 $12K
83540 1,476 1,465 $12K
93970 50 50 $11K
99188 786 786 $11K
94664 541 513 $11K
90834 Psychotherapy, 45 minutes with patient 75 36 $10K
86140 1,470 1,461 $9K
97035 535 211 $9K
95886 39 37 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 411 354 $9K
73502 148 147 $9K
92201 282 255 $9K
77061 157 154 $9K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 190 186 $8K
88312 41 41 $8K
99177 3,239 3,238 $8K
92202 454 453 $8K
72050 109 109 $8K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 143 63 $8K
88304 109 109 $8K
99223 Prolong inpt eval add15 m 43 43 $8K
87486 164 162 $7K
87581 164 162 $7K
87340 608 606 $7K
0012A 154 154 $7K
0011A 154 154 $7K
94375 141 136 $7K
77049 13 13 $7K
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing 264 257 $7K
51798 515 502 $7K
99417 Prolong home eval add 15m 69 69 $7K
93015 70 70 $7K
86618 333 332 $7K
94729 79 79 $7K
99401 288 287 $7K
74176 Computed tomography, abdomen and pelvis; without contrast material 27 27 $6K
92083 69 68 $6K
0071A 101 101 $6K
92550 409 384 $6K
0064A 105 105 $5K
58340 13 13 $5K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 34 24 $5K
97162 51 48 $5K
99386 25 25 $5K
85652 1,488 1,481 $5K
90661 1,877 1,876 $5K
73564 79 70 $5K
93971 28 28 $5K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,350 1,305 $4K
A9576 Injection, gadoteridol, (prohance multipack), per ml 654 445 $4K
0072A 78 78 $4K
90832 Psychotherapy, 30 minutes with patient 41 24 $4K
94060 68 68 $4K
94727 68 68 $4K
00813 17 17 $4K
92285 309 309 $4K
81001 1,038 1,010 $4K
82550 477 476 $4K
72070 88 88 $4K
92504 146 129 $4K
88112 39 39 $4K
87081 701 689 $4K
11102 25 25 $4K
87807 440 422 $3K
01936 14 13 $3K
97799 74 38 $3K
86708 217 217 $3K
0004A 59 59 $3K
73560 62 58 $3K
82746 350 350 $3K
0124A 50 50 $3K
01938 23 15 $3K
90677 485 484 $3K
97802 186 185 $2K
86704 222 222 $2K
74018 55 55 $2K
86706 243 243 $2K
3074F 7,876 7,465 $2K
84702 135 114 $2K
99429 238 237 $2K
88143 86 86 $2K
87071 678 655 $2K
83655 145 145 $2K
92133 42 40 $2K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 87 64 $2K
92579 40 40 $2K
90715 276 276 $2K
82977 217 216 $2K
J1030 Injection, methylprednisolone acetate, 40 mg 186 184 $2K
83735 235 234 $2K
0240U 20 19 $2K
99201 26 26 $2K
85018 860 855 $2K
76514 134 134 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 437 399 $2K
90636 12 12 $2K
99442 14 13 $1K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 154 146 $1K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 21 13 $1K
85027 241 238 $1K
85045 219 213 $1K
3079F 3,464 3,337 $1K
J1040 Injection, methylprednisolone acetate, 80 mg 72 68 $1K
3078F 5,283 5,021 $1K
86141 66 65 $1K
99309 Subsequent nursing facility care, per day, low to moderate complexity 17 12 $994.25
97803 13 12 $991.14
95806 12 12 $901.60
86431 123 123 $888.48
82962 206 203 $828.90
J1010 Injection, methylprednisolone acetate, 1 mg 99 94 $823.56
82670 25 25 $771.12
87184 144 141 $755.67
G0444 Annual depression screening, 5 to 15 minutes 25 25 $690.60
84436 190 189 $673.14
90480 26 26 $660.00
73600 14 12 $658.34
76857 12 12 $639.81
84153 29 29 $610.59
95251 12 12 $581.88
82043 87 86 $574.57
82465 102 102 $553.83
87625 26 26 $545.79
72220 12 12 $529.41
83001 25 25 $512.88
94667 41 40 $501.82
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 45 44 $452.58
91322 13 13 $437.76
87186 41 41 $424.56
84480 47 47 $411.87
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 13 13 $403.22
96161 179 158 $401.27
90656 787 786 $398.32
87077 41 41 $398.26
96380 26 26 $358.31
90474 55 55 $355.00
90619 415 414 $351.91
95024 14 14 $333.32
92558 26 26 $314.26
90651 189 189 $306.26
90670 1,977 1,975 $303.45
84550 51 51 $297.48
99406 13 13 $277.84
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 13 13 $258.84
J1100 Injection, dexamethasone sodium phosphate, 1 mg 146 140 $254.96
87088 26 26 $249.92
85610 49 48 $241.57
J2785 Injection, regadenoson, 0.1 mg 14 14 $222.86
82570 28 28 $180.80
82950 26 26 $161.18
80048 Basic metabolic panel (calcium, ionized) 14 14 $136.22
90680 505 504 $89.25
98960 28 24 $80.20
S0020 Injection, bupivicaine hydrochloride, 30 ml 119 111 $79.80
90698 306 306 $71.40
82272 12 12 $66.79
J2704 Injection, propofol, 10 mg 22 13 $54.41
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 66 66 $53.32
85007 12 12 $48.07
87150 29 29 $40.35
94760 220 204 $26.85
3075F 891 870 $20.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 100 95 $16.41
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 66 64 $6.45
91306 70 70 $0.01
3077F 665 640 $0.00
1124F 572 564 $0.00
90633 141 140 $0.00
90734 255 255 $0.00
91300 418 380 $0.00
90707 25 25 $0.00
96160 98 98 $0.00
90685 38 38 $0.00
90710 26 26 $0.00
90672 16 15 $0.00
90621 12 12 $0.00
91312 34 34 $0.00
3008F 2,037 2,012 $0.00
99000 11,125 10,774 $0.00
3044F 494 494 $0.00
90723 514 511 $0.00
90647 371 371 $0.00
97010 549 222 $0.00
36416 1,846 1,817 $0.00
3080F 460 443 $0.00
90744 58 58 $0.00
91301 241 237 $0.00
99050 77 77 $0.00
90660 13 13 $0.00
99070 27 26 $0.00
90696 13 13 $0.00
91307 277 247 $0.00
90697 25 25 $0.00
91305 14 13 $0.00
90620 12 12 $0.00