Medicaid Provider Spending

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

MID TN CLINIC PLLC

NPI: 1003651563 · NASHVILLE, TN 37211 · Clinic/Center · NPI assigned 06/27/2024

$200.36
Total Medicaid Paid
16
Total Claims
16
Beneficiaries
1
Codes Billed
2024-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGABRIEL, BOLA (OWNER/CEO)
NPI Enumeration Date06/27/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 16 $200.36

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16 16 $200.36