Medicaid Provider Spending

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

MAIN STREET CLINIC

NPI: 1093217846 · BLUFFTON, IN 46714 · Pediatric Adolescent Medicine Physician · NPI assigned 03/07/2018

$15K
Total Medicaid Paid
412
Total Claims
377
Beneficiaries
3
Codes Billed
2018-06
First Month
2019-11
Last Month

Provider Details

Authorized OfficialGREENMAN, JOHN (M.D/CEO-PRESIDENT)
NPI Enumeration Date03/07/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 247 $4K
2019 165 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 305 279 $13K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 63 58 $1K
80305 44 40 $155.04