Medicaid Provider Spending

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

PACK FAMILY CLINIC, PLLC

NPI: 1124531736 · ADA, OK 74820 · Family Medicine Physician · NPI assigned 11/06/2017

$25K
Total Medicaid Paid
547
Total Claims
488
Beneficiaries
4
Codes Billed
2018-11
First Month
2020-02
Last Month

Provider Details

Authorized OfficialPACK, VALERIE (FAMILY PHYSICIAN)
NPI Enumeration Date11/06/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15 $480.36
2019 397 $18K
2020 135 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 320 286 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 200 176 $7K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15 14 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $176.40