Medicaid Provider Spending

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

DWAYNE M. HANSEN MD PLLC

NPI: 1114024650 · REXBURG, ID 83440 · Surgery Physician · NPI assigned 09/19/2006

$9K
Total Medicaid Paid
115
Total Claims
110
Beneficiaries
3
Codes Billed
2018-08
First Month
2022-02
Last Month

Provider Details

Authorized OfficialHANSEN, DWAYNE (OWNER)
NPI Enumeration Date09/19/2006

Related Entities

Other providers sharing the same authorized official: HANSEN, DWAYNE

ProviderCityStateTotal Paid
MAX HANSEN SURGERY PLLC REXBURG ID $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14 $1K
2020 29 $2K
2021 45 $4K
2022 27 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 43 42 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 43 42 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 29 26 $1K