Medicaid Provider Spending

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

PRICE, SARAH

NPI: 1992095723 · BELLEVILLE, IL 62226 · Pediatrics Physician · NPI assigned 04/13/2011

$1.42M
Total Medicaid Paid
46,269
Total Claims
34,178
Beneficiaries
51
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,701 $175K
2019 5,048 $129K
2020 7,226 $202K
2021 5,684 $167K
2022 6,157 $206K
2023 7,307 $256K
2024 7,146 $285K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,382 5,165 $309K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,932 2,197 $226K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,396 1,790 $163K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,812 1,348 $134K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,707 1,423 $124K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 880 649 $73K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,116 2,253 $61K
96127 3,482 2,503 $54K
92558 4,246 3,022 $53K
D1206 Topical application of fluoride varnish 1,839 1,391 $50K
99173 2,886 2,047 $22K
90670 1,417 1,135 $18K
90698 1,260 930 $17K
90686 1,280 922 $14K
90633 747 564 $11K
83655 799 603 $10K
87428 131 127 $8K
90677 402 337 $8K
90680 625 467 $7K
90744 444 367 $6K
97803 676 345 $5K
90651 181 133 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 147 125 $4K
36416 980 650 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 239 213 $4K
85018 1,292 930 $3K
0071A 65 60 $3K
90707 267 182 $3K
90696 145 115 $2K
0072A 51 47 $2K
90681 124 111 $2K
96160 145 119 $2K
90716 161 109 $2K
90734 132 91 $2K
90656 84 78 $1K
81002 491 283 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 48 45 $1K
90619 58 43 $988.18
90710 51 42 $894.58
90700 49 40 $827.79
81003 288 215 $639.62
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 15 12 $604.13
80061 Lipid panel 70 59 $453.17
90715 37 25 $447.81
82947 70 59 $247.81
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) 36 35 $192.50
3008F 12 12 $96.00
99051 17 17 $35.00
99000 129 88 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 692 318 $0.00
S9451 Exercise classes, non-physician provider, per session 734 337 $0.00