Medicaid Provider Spending

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

PREMIER FAMILY CARE I, INC.

NPI: 1124218847 · MIDLAND, TX 79701 · Pediatrics Physician · NPI assigned 07/30/2007

$2K
Total Medicaid Paid
104
Total Claims
57
Beneficiaries
2
Codes Billed
2019-10
First Month
2021-01
Last Month

Provider Details

Authorized OfficialBEJIL, LEAH (CREDENTIALING MANAGER)
NPI Enumeration Date07/30/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 44 $329.28
2020 47 $813.04
2021 13 $416.95

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 29 28 $986.95
90460 Immunization administration through 18 years of age via any route, first or only component 75 29 $572.32