Medicaid Provider Spending

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

NPI: 1154918308 · FORT COLLINS, CO 80525 · Pediatrics Physician · NPI assigned 12/22/2020

$1K
Total Medicaid Paid
113
Total Claims
65
Beneficiaries
2
Codes Billed
2022-11
First Month
2023-10
Last Month

Provider Details

Authorized OfficialFRED, STEPHANIE (EXECUTIVE ASSISTANT)
NPI Enumeration Date12/22/2020

Related Entities

Other providers sharing the same authorized official: FRED, STEPHANIE

ProviderCityStateTotal Paid
PEDIATRIC URGENT CARE OF NORTHERN COLORADO TIMNATH CO $443K
FORT COLLINS YOUTH CLINIC FORT COLLINS CO $234K
FORT COLLINS YOUTH CLINIC TIMNATH CO $55K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 31 $180.20
2023 82 $986.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90686 63 39 $723.25
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 50 26 $442.95