Medicaid Provider Spending

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

LAXMI LLC

NPI: 1124174917 · BRIDGEPORT, AL 35740 · Family Medicine Physician · NPI assigned 01/26/2007

$21K
Total Medicaid Paid
774
Total Claims
685
Beneficiary Records
5
Codes Billed
2018-01
First Month
2020-04
Last Month

Provider Details

Authorized OfficialMOHAN, T. (PRESIDENT)
NPI Enumeration Date01/26/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 524 $15K
2019 187 $5K
2020 63 $1K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 434 383 $12K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 268 232 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13 13 $840.00
81002 44 44 $105.00
36415 Collection of venous blood by venipuncture 15 13 $12.00