Medicaid Provider Spending

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

LAKE CITY PRIMARY CARE PLLC

NPI: 1164850053 · PLATTSBURGH, NY 12901 · Internal Medicine Physician · NPI assigned 10/31/2013

$12K
Total Medicaid Paid
151
Total Claims
130
Beneficiaries
1
Codes Billed
2022-04
First Month
2024-01
Last Month

Provider Details

Authorized OfficialBRAULT, KELLEY (OFFICE MANAGER)
NPI Enumeration Date10/31/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 74 $5K
2023 64 $6K
2024 13 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 151 130 $12K