Medicaid Provider Spending

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

HIDDEN VALLEY FAMILY MEDICINE INC

NPI: 1144246984 · DRAPER, UT 84020 · Family Medicine Physician · NPI assigned 07/14/2006

$82K
Total Medicaid Paid
1,306
Total Claims
1,100
Beneficiaries
2
Codes Billed
2020-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLASSITER, DANI (PRACTICE ADMINISTRATOR)
NPI Enumeration Date07/14/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 40 $1K
2021 356 $20K
2022 363 $24K
2023 299 $17K
2024 248 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,258 1,059 $80K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 48 41 $2K