Medicaid Provider Spending

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

BERHE, TSEGHAI

NPI: 1982678207 · SCHAUMBURG, IL 60193 · Pediatric Endocrinology Physician · NPI assigned 02/14/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

96% of spending on code 99214 with only 3 total codes billed. Highly concentrated billing profile.

$1.82M
Total Medicaid Paid
25,235
Total Claims
20,736
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,790 $249K
2019 4,521 $328K
2020 5,095 $349K
2021 4,310 $323K
2022 3,611 $260K
2023 2,538 $192K
2024 1,370 $120K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24,622 20,212 $1.74M
99244 Office or other outpatient consultation, moderate to high complexity 569 480 $76K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44 44 $2K