Medicaid Provider Spending

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

DOWNING, APRIL

NPI: 1982843231 · JACKSON, TN 38305 · Family Nurse Practitioner · NPI assigned 02/10/2009

$175K
Total Medicaid Paid
18,489
Total Claims
11,945
Beneficiaries
28
Codes Billed
2018-01
First Month
2020-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,647 $60K
2019 5,440 $67K
2020 3,402 $47K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,567 2,023 $58K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,135 1,209 $41K
99308 Subsequent nursing facility care, per day, straightforward 2,448 1,295 $27K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,454 941 $13K
99307 1,323 613 $11K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 348 312 $9K
99490 Ccm add 20min 394 356 $5K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 960 634 $4K
J1030 Injection, methylprednisolone acetate, 40 mg 455 344 $1K
99493 87 83 $1K
81025 211 196 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 75 47 $1K
J2300 Injection, nalbuphine hydrochloride, per 10 mg 368 235 $690.94
90785 960 633 $651.77
J2550 Injection, promethazine hcl, up to 50 mg 384 242 $323.96
93000 17 14 $205.60
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 27 13 $187.22
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 116 69 $114.58
90688 18 17 $96.20
J1100 Injection, dexamethasone sodium phosphate, 1 mg 430 327 $92.98
81003 80 76 $92.13
J1885 Injection, ketorolac tromethamine, per 15 mg 71 53 $60.90
J1200 Injection, diphenhydramine hcl, up to 50 mg 175 119 $47.23
81002 18 15 $31.64
G0008 Administration of influenza virus vaccine 17 17 $28.08
J0696 Injection, ceftriaxone sodium, per 250 mg 25 13 $6.70
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,300 2,036 $0.00
80176 26 13 $0.00