Medicaid Provider Spending

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

FMC MEDICAL FOUNDATION, INC.

NPI: 1104255272 · AMARILLO, TX 79109 · Pediatrics Physician · NPI assigned 11/08/2013

$106K
Total Medicaid Paid
6,016
Total Claims
4,909
Beneficiaries
19
Codes Billed
2019-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFEEMSTER, STEFANIE (CREDENTIALING SPECIALIST)
NPI Enumeration Date11/08/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,524 $2K
2020 216 $2K
2021 984 $31K
2022 948 $32K
2023 694 $20K
2024 650 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,330 1,159 $47K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 787 657 $22K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 585 527 $13K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 173 158 $10K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 69 62 $3K
87428 46 44 $3K
87634 68 57 $3K
99308 Subsequent nursing facility care, per day, straightforward 1,076 747 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 128 60 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 122 82 $1K
99309 Subsequent nursing facility care, per day, low to moderate complexity 743 534 $874.84
99310 Prolong nursin fac eval 15m 439 410 $678.75
99490 Ccm add 20min 121 121 $176.53
J0696 Injection, ceftriaxone sodium, per 250 mg 26 14 $23.52
90686 114 114 $0.00
99356 49 25 $0.00
90656 12 12 $0.00
G0008 Administration of influenza virus vaccine 107 106 $0.00
90688 21 20 $0.00