Medicaid Provider Spending

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

SPOTSWOOD MEDICAL ASSOCIATES PA

NPI: 1982905022 · SPOTSWOOD, NJ 08884 · Internal Medicine Physician · NPI assigned 11/05/2010

$459K
Total Medicaid Paid
18,217
Total Claims
15,053
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSAHNI, SUSHMA (OWNER/CEO)
NPI Enumeration Date11/05/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,173 $78K
2019 2,226 $70K
2020 3,302 $71K
2021 3,304 $76K
2022 3,519 $69K
2023 2,212 $54K
2024 1,481 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,371 6,895 $296K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,771 2,508 $98K
99308 Subsequent nursing facility care, per day, straightforward 3,440 3,106 $34K
99334 764 736 $16K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 55 55 $4K
99401 174 163 $3K
93000 224 220 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 46 45 $2K
99350 Prolong home eval add 15m 95 94 $2K
99490 Ccm add 20min 831 807 $756.29
99305 14 13 $325.87
90756 18 17 $274.46
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 31 30 $247.86
90674 13 13 $241.13
86580 23 23 $69.35
36415 Collection of venous blood by venipuncture 33 27 $33.66
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 29 29 $0.00
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). 119 117 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 104 101 $0.00
99439 62 54 $0.00