Medicaid Provider Spending

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

REDICLINIC OF WA, LLC

NPI: 1033512587 · BELLEVUE, WA 98006 · Clinic/Center · NPI assigned 09/29/2014

$8K
Total Medicaid Paid
185
Total Claims
164
Beneficiaries
5
Codes Billed
2018-02
First Month
2018-06
Last Month

Provider Details

Authorized OfficialBARRERA, DANIELLE (CHIEF OPERATING OFFICER)
NPI Enumeration Date09/29/2014

Related Entities

Other providers sharing the same authorized official: BARRERA, DANIELLE

ProviderCityStateTotal Paid
REDICLINIC OF PA, LLC PHILADELPHIA PA $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 185 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 68 64 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 32 32 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 26 26 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 34 17 $435.76
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 25 25 $327.05