Medicaid Provider Spending

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

SONORA FAMILY CARE

NPI: 1083984694 · SIERRA VISTA, AZ 85635 · Family Nurse Practitioner · NPI assigned 01/12/2012

$7K
Total Medicaid Paid
155
Total Claims
120
Beneficiaries
2
Codes Billed
2018-01
First Month
2019-04
Last Month

Provider Details

Authorized OfficialWISTER, KIRSTEN (OWNER)
NPI Enumeration Date01/12/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 116 $6K
2019 39 $954.11

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 129 107 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26 13 $745.34