Medicaid Provider Spending

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

Clinical & Laboratory Immunology (Internal Medicine) Physician

$1.90M
Total Medicaid Paid
10
Providers
39,472
Total Claims
23,824
Beneficiary Records

Browse by State

MA ($864K)IL ($515K)CA ($401K)OH ($62K)FL ($26K)NJ ($17K)PR ($12K)PA ($968.32)

Top Billing Codes

CodeDescriptionTotal Paid
G0481 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; 8-14 drug class(es), including metabolite(s) if performed $864K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV $124K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) $119K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity $108K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity $88K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B $84K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r $69K
91320 $69K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity $48K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity $45K

Top Providers

#ProviderLocationClaimsTotal Paid
1 MEDICAL DRUG TESTING LAB FALL RIVER, MA 10,823 $864K
2 KAPADIA, MEHBUB CHICAGO, IL 16,128 $515K
3 ONE DAY HEALTH, INC SAN BERNARDINO, CA 3,857 $273K
4 NARCOTICS PREVENTION ASSOCIATION INC LOS ANGELES, CA 1,041 $127K
5 DAYTON ARTHRITIS AND ALLERGY CENTER LLC DAYTON, OH 1,949 $62K
6 PARIS, MARK DELRAY BEACH, FL 1,745 $26K
7 NEW JERSEY ELECTROPHYSIOLOGY ASSOCIATES LLC NEWARK, NJ 1,056 $17K
8 COSSSMA AIBONITO, PR 2,424 $12K
9 ALAN J KIVITZ MD PC DUNCANSVILLE, PA 399 $968.32
10 ULTIMATE HEALTH MEDICAL SERVICES LLC., A CALIFORNIA LIABILITY COMPANY LONG BEACH, CA 50 $757.80