Medicaid Provider Spending

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

SHADYSIDE CLINIC, LLC

NPI: 1093183204 · SHADYSIDE, OH 43947 · Primary Care Clinic/Center · NPI assigned 09/03/2015

$346K
Total Medicaid Paid
8,249
Total Claims
7,223
Beneficiaries
10
Codes Billed
2018-01
First Month
2022-07
Last Month

Provider Details

Authorized OfficialTWAROG, LINDSAY (NURSE PRACTITIONER AND OWNER)
NPI Enumeration Date09/03/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,413 $101K
2019 1,551 $64K
2020 1,694 $76K
2021 1,689 $70K
2022 902 $36K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,376 2,940 $191K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,286 2,835 $128K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 202 199 $16K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 349 300 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 173 109 $2K
36415 Collection of venous blood by venipuncture 732 712 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 15 15 $1K
90756 32 32 $678.61
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 58 56 $632.67
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 26 25 $332.91