Medicaid Provider Spending

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

FORMA MEDICAL GROUP LLC

NPI: 1073227179 · LEWISVILLE, TX 75067 · 291U00000X

$5K
Total Medicaid Paid
4,487
Total Claims
3,553
Beneficiaries
34
Codes Billed
2023-08
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 593 $368.21
2024 3,894 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87635 168 165 $1K
87631 153 149 $838.67
87798 445 318 $795.87
87651 406 318 $294.80
87640 406 318 $265.32
87500 403 315 $265.32
87641 403 315 $265.32
87653 399 317 $265.32
87481 145 139 $265.28
87541 153 149 $206.36
87498 153 149 $206.36
87581 153 149 $206.36
87486 153 149 $206.36
80307 40 28 $49.59
85025 118 71 $32.65
83550 53 27 $0.00
36415 18 15 $0.00
80048 15 15 $0.00
82607 43 27 $0.00
83036 85 48 $0.00
P9603 One-way allow prorated miles 18 15 $0.00
87801 57 40 $0.00
82306 47 29 $0.00
84443 51 32 $0.00
80053 65 34 $0.00
81003 18 14 $0.00
87150 57 40 $0.00
83540 54 28 $0.00
84550 14 13 $0.00
G0482 Drug test def 15-21 classes 40 28 $0.00
80061 87 53 $0.00
84439 22 12 $0.00
84481 22 12 $0.00
81002 23 22 $0.00