Medicaid Provider Spending

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

MONTGOMERY MEDICAL ASSOCIATES LLC

NPI: 1023205754 · MONTGOMERY, IN 47558 · Clinic/Center · NPI assigned 09/26/2007

$635K
Total Medicaid Paid
15,828
Total Claims
12,926
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHOLSOPPLE, MARY JOAN (PRACTICE MANAGER)
NPI Enumeration Date09/26/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,200 $48K
2019 1,466 $61K
2020 1,989 $82K
2021 2,327 $108K
2022 3,412 $135K
2023 2,495 $114K
2024 1,939 $88K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,281 4,952 $308K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,723 3,182 $214K
T1015 Clinic visit/encounter, all-inclusive 2,075 1,866 $73K
99307 903 660 $19K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,420 1,060 $15K
36415 Collection of venous blood by venipuncture 1,258 1,069 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 90 72 $1K
99305 20 20 $612.00
90686 31 23 $429.81
99308 Subsequent nursing facility care, per day, straightforward 27 22 $0.00