Medicaid Provider Spending

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

CATHEDRAL LEDGE AESTHETICS AND WELLNESS

NPI: 1083487599 · NORTH CONWAY, NH 03860 · General Practice Physician · NPI assigned 11/06/2023

$14K
Total Medicaid Paid
448
Total Claims
291
Beneficiaries
2
Codes Billed
2024-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIDDIQUI, SOHAIB (OWNER)
NPI Enumeration Date11/06/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 448 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 427 278 $14K
S9083 Global fee urgent care centers 21 13 $0.00