Medicaid Provider Spending

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

WHOLLY AUTHENTIC LIFE LLC

NPI: 1043930993 · FAIRFIELD, MT 59436 · Clinic/Center · NPI assigned 08/31/2022

$50K
Total Medicaid Paid
792
Total Claims
418
Beneficiaries
1
Codes Billed
2023-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, TAMMIE (MBR)
NPI Enumeration Date08/31/2022

Related Entities

Other providers sharing the same authorized official: SMITH, TAMMIE

ProviderCityStateTotal Paid
APRN MEDICAL LLC FAYETTEVILLE AR $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 485 $19K
2024 307 $31K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 792 418 $50K