Medicaid Provider Spending

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

PRAIRIE FIELDS FAMILY MEDICINE, P.C.

NPI: 1114932860 · FREMONT, NE 68025 · Family Medicine Physician · NPI assigned 07/30/2006

$237K
Total Medicaid Paid
5,834
Total Claims
5,230
Beneficiaries
7
Codes Billed
2018-01
First Month
2019-12
Last Month

Provider Details

Authorized OfficialCOONEY, SCOTT (ADMINISTRATOR)
NPI Enumeration Date07/30/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,050 $124K
2019 2,784 $113K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,444 3,069 $133K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,885 1,682 $100K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 92 92 $2K
90688 64 64 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 108 84 $937.50
90686 125 124 $114.94
G0008 Administration of influenza virus vaccine 116 115 $18.00