Medicaid Provider Spending

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

PRIME MEDICAL CENTER LLC

NPI: 1043936990 · LAS VEGAS, NV 89106 · Health Service Clinic/Center · NPI assigned 10/12/2022

$201K
Total Medicaid Paid
5,613
Total Claims
926
Beneficiaries
4
Codes Billed
2023-04
First Month
2023-11
Last Month

Provider Details

Authorized OfficialPUEBLA ISAAC, JORGE (MANAGER)
NPI Enumeration Date10/12/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 5,613 $201K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90876 1,962 310 $179K
Q3014 Telehealth originating site facility fee 1,961 309 $13K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,652 269 $7K
96158 38 38 $1K