Medicaid Provider Spending

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

ZANESVILLE PEDIATRICS INC

NPI: 1992003313 · ZANESVILLE, OH 43701 · Pediatrics Physician · NPI assigned 03/09/2011

$1.54M
Total Medicaid Paid
58,412
Total Claims
53,286
Beneficiaries
53
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGUPTA, RAJIV (PHYSICIAN)
NPI Enumeration Date03/09/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,343 $252K
2019 8,359 $237K
2020 7,538 $195K
2021 9,022 $242K
2022 10,955 $265K
2023 9,554 $223K
2024 4,641 $123K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,962 11,250 $569K
90460 Immunization administration through 18 years of age via any route, first or only component 7,606 7,180 $244K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,323 3,028 $226K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,563 2,457 $140K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,188 2,075 $113K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 939 898 $49K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 330 280 $47K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 464 448 $27K
92583 1,166 1,135 $27K
92552 1,375 1,323 $15K
99177 1,401 1,349 $13K
D1208 Topical application of fluoride, excluding varnish 818 811 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 827 770 $10K
96127 1,467 1,327 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 481 233 $6K
90670 1,539 1,458 $6K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 206 193 $5K
90698 986 940 $3K
90686 1,718 1,689 $2K
90671 28 27 $2K
90716 206 201 $2K
90633 416 403 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 56 53 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 202 199 $1K
90707 207 202 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 28 28 $875.92
90680 934 880 $790.25
90651 40 40 $777.30
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 14 14 $536.93
90744 417 394 $417.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 102 102 $379.66
90620 12 12 $237.20
90734 26 26 $231.38
90674 294 257 $67.78
90696 20 20 $40.00
90681 26 26 $20.00
1036F 403 402 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 866 806 $0.00
90660 16 16 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 348 346 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 222 201 $0.00
90656 64 60 $0.00
90697 15 15 $0.00
90723 13 13 $0.00
G8422 Bmi not documented, documentation the patient is not eligible for bmi calculation 122 105 $0.00
90677 15 15 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 7,428 6,210 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 2,645 2,584 $0.00
90461 36 36 $0.00
90700 39 39 $0.00
90648 113 105 $0.00
99072 566 499 $0.00
90672 114 106 $0.00