Medicaid Provider Spending

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

SOCO PRIMARY CARE CLINIC

NPI: 1124677729 · PUEBLO, CO 81008 · Adult Health Nurse Practitioner · NPI assigned 09/06/2019

$1.28M
Total Medicaid Paid
24,661
Total Claims
21,166
Beneficiaries
26
Codes Billed
2019-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBETTS, NICOLE (PRESIDENT, AUTHORIZED OFFICIAL)
NPI Enumeration Date09/06/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 370 $29K
2020 3,187 $230K
2021 4,773 $253K
2022 4,775 $275K
2023 6,319 $260K
2024 5,237 $230K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,633 6,686 $620K
99215 Prolong outpt/office vis 4,208 3,676 $436K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,043 1,842 $64K
80305 4,434 3,814 $39K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,082 1,385 $24K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 163 148 $21K
99354 269 234 $16K
87428 181 159 $13K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,202 1,048 $13K
99205 Prolong outpt/office vis 85 73 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 257 244 $5K
90674 189 173 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 141 132 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33 30 $2K
90661 56 53 $2K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 48 44 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 28 25 $1K
90756 59 48 $853.62
36415 Collection of venous blood by venipuncture 437 399 $797.04
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 761 649 $731.37
0011A 24 24 $598.00
81025 44 42 $373.98
J1885 Injection, ketorolac tromethamine, per 15 mg 198 174 $366.54
90688 16 15 $252.30
96127 45 24 $13.56
1000F 25 25 $0.00