Medicaid Provider Spending

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

PEDXM, PC

NPI: 1043726524 · GRETNA, NE 68028 · Nurse Practitioner · NPI assigned 12/20/2017

$13K
Total Medicaid Paid
208
Total Claims
192
Beneficiaries
4
Codes Billed
2024-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialTHOMAN, ERIN (OWNER)
NPI Enumeration Date12/20/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 208 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 56 50 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 108 100 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 27 25 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 17 17 $501.79