Medicaid Provider Spending

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

IDEAL OPTION, PLLC

NPI: 1992226310 · HAGERSTOWN, MD 21740 · Addiction Medicine (Family Medicine) Physician · NPI assigned 07/06/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DAWSON, BRIAN controls 20+ related entities in our dataset. Read more

$7.35M
Total Medicaid Paid
89,488
Total Claims
50,656
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDAWSON, BRIAN (CMO)
NPI Enumeration Date07/06/2017

Related Entities

Other providers sharing the same authorized official: DAWSON, BRIAN

ProviderCityStateTotal Paid
IDEAL OPTION, PLLC KENNEWICK WA $39.28M
IDEAL OPTION, PLLC CUT BANK MT $3.65M
IDEAL OPTION, PLLC GREAT FALLS MT $3.29M
COLORADO HOSPITALIST SERVICES, PLLC ENGLEWOOD CO $2.21M
IDEAL OPTION, PLLC CUMBERLAND MD $1.79M
IDEAL OPTION, PLLC BOZEMAN MT $1.62M
EAGLE CREEK EMERGENCY GROUP, PC PARIS TN $1.42M
IDEAL OPTION LAB KENNEWICK WA $1.32M
IDEAL OPTION, PLLC BILLINGS MT $1.16M
IDEAL OPTION, PLLC FREDERICK MD $1.06M
IDEAL OPTION, PLLC WALDORF MD $917K
IDEAL OPTION, PLLC KALISPELL MT $731K
IDEAL OPTION, PLLC HELENA MT $702K
IDEAL OPTION, PLLC HELENA MT $695K
IDEAL OPTION, PLLC WILLISTON ND $691K
IDEAL OPTION, PLLC GREAT FALLS MT $676K
IDEAL OPTION, PLLC BUTTE MT $620K
IDEAL OPTION, PLLC CATONSVILLE MD $590K
HAVELY SPRINGS EMERGENCY GROUP, PC SPRINGFIELD TN $584K
COLORADO HOSPITALIST SERVICES, PLLC DENVER CO $341K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,120 $1.04M
2019 24,952 $1.67M
2020 8,799 $668K
2021 13,652 $1.10M
2022 12,928 $1.24M
2023 10,098 $987K
2024 5,939 $638K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 32,719 23,822 $3.87M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 48,499 20,056 $2.46M
99215 Prolong outpt/office vis 3,214 2,275 $595K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,586 4,042 $349K
99205 Prolong outpt/office vis 357 355 $74K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 99 94 $2K
Q3014 Telehealth originating site facility fee 14 12 $332.08