Medicaid Provider Spending

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

SANJAY GHOSH PHD MD PC

NPI: 1992868277 · WASHINGTON, MO 63090 · Internal Medicine Physician · NPI assigned 12/18/2006

$254K
Total Medicaid Paid
4,832
Total Claims
4,522
Beneficiaries
17
Codes Billed
2018-01
First Month
2022-09
Last Month

Provider Details

Authorized OfficialGHOSH, SANJAY (PHD MD PC)
NPI Enumeration Date12/18/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,199 $27K
2019 892 $23K
2020 884 $30K
2021 1,450 $144K
2022 407 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 274 231 $187K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,529 1,435 $35K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 554 529 $24K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 281 247 $3K
85651 1,101 1,066 $2K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 14 14 $1K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 14 14 $799.94
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14 14 $176.09
80305 26 26 $137.38
J7050 Infusion, normal saline solution, 250 cc 291 253 $45.20
36415 Collection of venous blood by venipuncture 504 479 $14.76
G9359 Documentation of negative or managed positive tb screen with further evidence that tb is not active prior to treatment with a biologic immune response modifier 24 21 $0.00
90756 30 25 $0.00
4192F 41 40 $0.00
G0008 Administration of influenza virus vaccine 41 36 $0.00
M1007 >=50% of total number of a patient's outpatient ra encounters assessed 48 47 $0.00
1170F 46 45 $0.00