Medicaid Provider Spending

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

COMMONWEALTH PEDIATRICS, PSC

NPI: 1982795431 · LEXINGTON, KY 40503 · Legal Medicine · NPI assigned 09/28/2006

$1.31M
Total Medicaid Paid
43,292
Total Claims
36,342
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDENNISON, AMANDA (PRACTICE ADMINISTRATOR)
NPI Enumeration Date09/28/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,625 $302K
2019 6,469 $223K
2020 3,794 $107K
2021 3,897 $119K
2022 6,433 $192K
2023 7,087 $221K
2024 5,987 $144K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,861 11,799 $457K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,518 5,782 $336K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 314 256 $114K
90460 Immunization administration through 18 years of age via any route, first or only component 4,005 3,605 $110K
86328 1,524 1,370 $52K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,497 3,158 $47K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,184 1,441 $41K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 687 604 $39K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 705 513 $33K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 356 156 $24K
87070 2,777 2,507 $21K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 255 231 $15K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 318 302 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 50 48 $3K
99174 150 136 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 99 91 $2K
0071A 46 38 $1K
90686 1,626 1,553 $1K
90670 276 215 $953.05
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) 1,149 1,000 $660.03
92551 78 63 $580.30
0001A 16 14 $565.60
96161 375 240 $554.92
90723 146 106 $447.61
87807 50 45 $436.23
90648 209 163 $262.33
96110 Developmental screening, with scoring and documentation, per standardized instrument 13 13 $247.22
90680 116 78 $121.89
96127 40 38 $111.52
99051 48 41 $86.25
90656 127 111 $34.35
90633 26 25 $30.73
91307 126 107 $0.08
888888 387 369 $0.00
99072 119 108 $0.00
91300 19 16 $0.00