Medicaid Provider Spending

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

MENCHAVEZ PEDIATRICS, LLC

NPI: 1992836167 · CUMBERLAND, MD 21502 · Pediatrics Physician · NPI assigned 03/08/2007

$2.34M
Total Medicaid Paid
53,490
Total Claims
49,903
Beneficiaries
56
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMENCHAVEZ, CELESTINO (OWNER)
NPI Enumeration Date03/08/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,743 $89K
2019 1,248 $36K
2020 13,014 $525K
2021 14,479 $726K
2022 14,512 $661K
2023 5,943 $249K
2024 1,551 $51K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,580 10,514 $843K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,035 4,614 $523K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,976 1,915 $186K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,600 1,550 $151K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,031 978 $90K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 292 44 $88K
D1206 Topical application of fluoride varnish 3,586 3,448 $87K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 622 606 $65K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,468 2,309 $37K
96127 6,791 6,377 $33K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,025 932 $25K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 889 861 $24K
90686 1,221 1,190 $23K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,647 1,560 $21K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,335 1,203 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 287 280 $13K
87428 454 439 $13K
92551 1,120 1,094 $11K
90472 Immunization administration, each additional vaccine (list separately) 443 404 $10K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 37 37 $10K
90648 580 573 $10K
90670 541 530 $10K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 478 467 $9K
99381 58 55 $6K
99177 977 952 $5K
90723 276 273 $4K
87807 360 343 $4K
36415 Collection of venous blood by venipuncture 893 841 $4K
90680 232 228 $3K
99188 150 136 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 21 12 $2K
W7000 253 252 $1K
96161 479 450 $1K
90633 61 61 $1K
83655 109 109 $969.92
99173 514 507 $908.63
90707 60 59 $907.92
90671 44 44 $771.84
90716 49 48 $768.24
3008F 569 535 $652.50
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 19 13 $528.80
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 36 31 $491.49
96160 1,622 1,500 $391.99
85018 185 173 $363.64
90688 42 35 $296.12
90651 16 16 $279.43
90700 13 13 $279.36
90620 13 13 $239.86
90734 14 14 $232.80
83718 13 13 $101.68
82465 13 13 $54.01
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) 87 80 $52.46
36416 1,233 1,121 $44.03
81000 14 13 $41.22
A7015 Aerosol mask, used with dme nebulizer 14 12 $11.00
90656 13 13 $0.00