Medicaid Provider Spending

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

DELACOTERA HEALTH CARE ASSOCIATION

NPI: 1013984558 · SHENANDOAH, TX 77384 · Internal Medicine Physician · NPI assigned 03/03/2006

$14K
Total Medicaid Paid
4,975
Total Claims
4,336
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-01
Last Month

Provider Details

Authorized OfficialDE LA COTERA JULE, RODRIGO (OWNER/ DOCTOR)
NPI Enumeration Date03/03/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 930 $3K
2019 1,323 $3K
2020 1,083 $3K
2021 950 $2K
2022 552 $2K
2023 125 $1K
2024 12 $59.95

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,151 968 $11K
99490 Ccm add 20min 1,439 1,439 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 131 71 $723.72
G8754 Most recent diastolic blood pressure < 90 mmhg 685 560 $0.00
90686 24 24 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 12 12 $0.00
G0008 Administration of influenza virus vaccine 24 24 $0.00
1170F 15 14 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 812 665 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 669 546 $0.00
G0444 Annual depression screening, 5 to 15 minutes 13 13 $0.00