Medicaid Provider Spending

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

SAN GABRIEL CLINICA

NPI: 1154094936 · BIG SPRING, TX 79720 · Family Nurse Practitioner · NPI assigned 07/28/2021

$31K
Total Medicaid Paid
642
Total Claims
505
Beneficiaries
2
Codes Billed
2023-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialELEDA, GABRIEL (OWNER OF ENTITY)
NPI Enumeration Date07/28/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 337 $16K
2024 305 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 373 282 $17K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 269 223 $13K