Medicaid Provider Spending

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

DESTINY MED SPA PLLC

NPI: 1184181091 · WILLISTON, ND 58801 · Multi-Specialty Clinic/Center · NPI assigned 02/27/2019

$86K
Total Medicaid Paid
1,155
Total Claims
907
Beneficiaries
5
Codes Billed
2019-10
First Month
2023-07
Last Month

Provider Details

Authorized OfficialCLAIR, VICTORIA (DIRECTOR/PRACTICE MANAGER)
NPI Enumeration Date02/27/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $1K
2020 326 $20K
2021 417 $28K
2022 275 $25K
2023 125 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 920 730 $68K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 111 77 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 60 50 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 24 14 $3K
99406 40 36 $0.00