Medicaid Provider Spending

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

M.G.T RN LLC

NPI: 1003448952 · MESA, AZ 85212 · Family Medicine Physician · NPI assigned 02/09/2020

$351K
Total Medicaid Paid
16,871
Total Claims
8,304
Beneficiaries
17
Codes Billed
2019-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWILSON, JAMEELAH (OWNER)
NPI Enumeration Date02/09/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 67 $241.07
2020 1,124 $17K
2021 2,858 $54K
2022 3,111 $52K
2023 3,939 $68K
2024 5,772 $159K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99349 7,243 2,383 $187K
99336 3,911 1,704 $91K
99334 1,651 1,068 $18K
99375 180 165 $9K
99347 1,185 809 $9K
99335 494 373 $8K
90792 Psychiatric diagnostic evaluation with medical services 133 111 $7K
99491 Ccm add 20min 1,380 1,165 $7K
99345 Prolong home eval add 15m 61 57 $3K
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 219 123 $3K
99350 Prolong home eval add 15m 70 61 $2K
99348 137 108 $2K
99497 126 113 $2K
90791 Psychiatric diagnostic evaluation 16 16 $1K
99354 18 15 $210.71
99328 26 17 $168.35
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 21 16 $0.00