Medicaid Provider Spending

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

SPECTRA HEALTH

NPI: 1114343423 · GRAND FORKS, ND 58201 · Federally Qualified Health Center (FQHC) · NPI assigned 03/11/2014

$3.22M
Total Medicaid Paid
34,398
Total Claims
25,879
Beneficiaries
45
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSHANNON, BEN (OPERATIONS MANAGER)
NPI Enumeration Date03/11/2014

Related Entities

Other providers sharing the same authorized official: SHANNON, BEN

ProviderCityStateTotal Paid
SPECTRA HEALTH GRAND FORKS ND $5.55M
SPECTRA HEALTH LARIMORE ND $259K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,711 $141K
2019 2,469 $196K
2020 3,164 $285K
2021 7,266 $520K
2022 5,878 $610K
2023 7,639 $818K
2024 6,271 $653K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,614 9,167 $1.91M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,910 4,492 $781K
H2035 Alcohol and/or other drug treatment program, per hour 1,927 801 $186K
80305 6,063 4,453 $68K
90837 Psychotherapy, 53 minutes with patient 389 297 $56K
90834 Psychotherapy, 45 minutes with patient 436 238 $46K
90832 Psychotherapy, 30 minutes with patient 396 287 $41K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 201 191 $35K
99215 Prolong outpt/office vis 40 37 $15K
H0001 Alcohol and/or drug assessment 69 69 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,286 1,080 $11K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 543 411 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 381 343 $6K
0012A 128 126 $5K
99188 122 106 $5K
36415 Collection of venous blood by venipuncture 2,250 1,911 $5K
Q3014 Telehealth originating site facility fee 157 123 $4K
0011A 153 150 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $3K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 49 40 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15 14 $3K
90472 Immunization administration, each additional vaccine (list separately) 700 206 $2K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 31 17 $2K
0002A 32 25 $2K
0001A 38 37 $2K
91322 19 19 $1K
92015 Determination of refractive state 172 167 $1K
90686 390 307 $1K
90480 72 68 $1K
0064A 15 15 $1K
86480 18 12 $884.20
90673 17 16 $788.61
86580 68 38 $554.89
86803 19 13 $218.39
86703 20 14 $209.81
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 59 49 $199.92
86592 20 14 $65.33
91300 116 93 $0.00
90633 14 14 $0.00
90713 20 12 $0.00
91301 329 310 $0.00
90651 13 13 $0.00
91306 15 15 $0.00
90656 45 43 $0.00
90744 15 14 $0.00