Medicaid Provider Spending

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

VALLEY ROOTS FAMILY CARE PLLC

NPI: 1144693250 · MOUNT VERNON, WA 98273 · Family Medicine Physician · NPI assigned 11/11/2015

$33K
Total Medicaid Paid
1,190
Total Claims
1,040
Beneficiaries
8
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialTHOMAS, TARA (OFFICE MANAGER)
NPI Enumeration Date11/11/2015

Related Entities

Other providers sharing the same authorized official: THOMAS, TARA

ProviderCityStateTotal Paid
MIND OVER MATTERS HOLISTIC WELLNESS ALBUQUERQUE NM $368K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 219 $8K
2019 250 $10K
2020 299 $4K
2021 238 $32.22
2022 121 $7K
2023 63 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 528 489 $28K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 44 40 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 16 12 $1K
36415 Collection of venous blood by venipuncture 72 68 $169.76
90686 16 15 $143.10
90460 Immunization administration through 18 years of age via any route, first or only component 204 196 $40.02
90461 31 26 $22.26
0502F 279 194 $0.00