Medicaid Provider Spending

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

PREMIER PRIMARY CARE CLINIC LLC

NPI: 1063034221 · EL PASO, TX 79935 · Primary Care Clinic/Center · NPI assigned 05/11/2020

$80K
Total Medicaid Paid
4,876
Total Claims
3,686
Beneficiaries
14
Codes Billed
2021-08
First Month
2024-08
Last Month

Provider Details

Authorized OfficialMENDOZA-MARCIAL, KARINA (OWNER/NP)
NPI Enumeration Date05/11/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,638 $21K
2022 2,996 $53K
2023 225 $7K
2024 17 $581.41

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1,471 1,110 $46K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,240 954 $13K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 157 127 $7K
S8301 Infection control supplies, not otherwise specified 184 140 $5K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,500 1,100 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 79 71 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 53 47 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 43 39 $1K
86769 55 27 $572.96
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 26 13 $318.70
90686 17 17 $173.34
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $166.24
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 17 17 $117.98
86328 22 12 $42.97