Medicaid Provider Spending

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

MIRACLE HILLS PRIMARY CARE CENTER PC

NPI: 1104292093 · OMAHA, NE 68154 · Family Medicine Physician · NPI assigned 08/14/2015

$86K
Total Medicaid Paid
1,865
Total Claims
1,603
Beneficiaries
4
Codes Billed
2018-01
First Month
2022-03
Last Month

Provider Details

Authorized OfficialALI, MAMAN (PRESIDENT)
NPI Enumeration Date08/14/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 609 $35K
2019 339 $14K
2020 301 $14K
2021 549 $19K
2022 67 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,500 1,295 $73K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 288 244 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 61 49 $497.40
36415 Collection of venous blood by venipuncture 16 15 $39.68