Medicaid Provider Spending

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

LAKESIDE INTERNAL MEDICINE, PLLC

NPI: 1063854420 · SUN LAKES, AZ 85248 · Internal Medicine Physician · NPI assigned 07/25/2013

$10K
Total Medicaid Paid
184
Total Claims
174
Beneficiaries
1
Codes Billed
2018-01
First Month
2022-04
Last Month

Provider Details

Authorized OfficialKU, PHILIP (OWNER/MEMBER)
NPI Enumeration Date07/25/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 87 $4K
2019 24 $1K
2020 28 $2K
2021 33 $2K
2022 12 $750.22

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 184 174 $10K