Medicaid Provider Spending

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

RICHARD ZIELINSKI MD, PLLC

NPI: 1982976742 · WATONGA, OK 73772 · Addiction Psychiatry Physician · NPI assigned 02/08/2012

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

94% of spending on code 99214 with only 2 total codes billed. Highly concentrated billing profile.

$2.05M
Total Medicaid Paid
21,319
Total Claims
18,120
Beneficiaries
2
Codes Billed
2018-01
First Month
2021-10
Last Month

Provider Details

Authorized OfficialGARRISON, JERI (DIRECTOR)
NPI Enumeration Date02/08/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,507 $682K
2019 6,092 $586K
2020 4,425 $439K
2021 3,295 $342K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20,484 17,285 $1.93M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 835 835 $120K