Medicaid Provider Spending

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

VIDA FAMILY MEDICINE, LLC

NPI: 1063567832 · SALEM, OR 97302 · Family Medicine Physician · NPI assigned 01/24/2007

$368K
Total Medicaid Paid
9,181
Total Claims
7,756
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLITKE-FETSCH, TERI (ADMINISTRATOR)
NPI Enumeration Date01/24/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 941 $79K
2019 591 $51K
2020 1,202 $16K
2021 1,862 $51K
2022 2,030 $92K
2023 1,588 $49K
2024 967 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,074 3,512 $218K
90837 Psychotherapy, 53 minutes with patient 560 290 $72K
99215 Prolong outpt/office vis 301 268 $34K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,112 2,792 $23K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 193 174 $6K
97810 111 53 $4K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 99 92 $4K
97811 111 53 $3K
90832 Psychotherapy, 30 minutes with patient 20 12 $1K
90686 32 29 $592.62
96160 153 145 $430.62
G0444 Annual depression screening, 5 to 15 minutes 13 12 $235.62
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 34 30 $232.14
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 70 67 $87.57
97026 111 53 $6.96
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 142 131 $0.61
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 45 43 $0.00