Medicaid Provider Spending

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

BALM OF GILEAD HEALTHCARE CLINIC LLC

NPI: 1154022895 · EAST GRAND FORKS, MN 56721 · Primary Care Nurse Practitioner · NPI assigned 03/10/2023

$9K
Total Medicaid Paid
115
Total Claims
66
Beneficiaries
2
Codes Billed
2024-03
First Month
2024-05
Last Month

Provider Details

Authorized OfficialFONDONG, MERIT (NP)
NPI Enumeration Date03/10/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 115 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 92 53 $6K
90792 Psychiatric diagnostic evaluation with medical services 23 13 $2K