Medicaid Provider Spending

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

WARREN PRIMARY CARE CENTER, LLC

NPI: 1992264683 · HACKETTSTOWN, NJ 07840 · Internal Medicine Physician · NPI assigned 03/13/2019

$52K
Total Medicaid Paid
5,691
Total Claims
4,030
Beneficiaries
15
Codes Billed
2021-11
First Month
2024-09
Last Month

Provider Details

Authorized OfficialGOLLAPUDI, DEVI (PRESIDENT)
NPI Enumeration Date03/13/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 17 $692.93
2022 887 $9K
2023 3,233 $27K
2024 1,554 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 861 654 $30K
99215 Prolong outpt/office vis 268 233 $13K
99309 Subsequent nursing facility care, per day, low to moderate complexity 512 378 $8K
36410 113 96 $812.64
90686 25 24 $373.22
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 20 20 $236.69
3008F 993 669 $193.00
3078F 1,064 695 $24.00
3074F 1,034 672 $22.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 423 291 $0.00
99000 90 80 $0.00
3048F 57 50 $0.00
3044F 40 29 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 153 112 $0.00
4013F 38 27 $0.00