Medicaid Provider Spending

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

FAMILY PRIMARY CARE, LLC

NPI: 1053938860 · LAKE HAVASU CITY, AZ 86403 · Family Nurse Practitioner · NPI assigned 06/26/2020

$64K
Total Medicaid Paid
1,200
Total Claims
1,117
Beneficiaries
7
Codes Billed
2020-12
First Month
2022-12
Last Month

Provider Details

Authorized OfficialO'HAVER, SHAWN (OWNER)
NPI Enumeration Date06/26/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 19 $272.35
2021 571 $30K
2022 610 $34K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 421 392 $27K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 461 423 $22K
99205 Prolong outpt/office vis 86 83 $11K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 163 155 $2K
87428 43 38 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 14 14 $396.15
99072 12 12 $0.00