Medicaid Provider Spending

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

PRIDE HEALTH CLINIC LLC

NPI: 1184332918 · OMAHA, NE 68127 · Women's Health Nurse Practitioner · NPI assigned 11/10/2022

$22K
Total Medicaid Paid
451
Total Claims
415
Beneficiary Records
3
Codes Billed
2023-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDVORAK, LESLIE (OWNER)
NPI Enumeration Date11/10/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 171 $6K
2024 280 $17K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 257 228 $12K
99215 Prolong outpt/office vis 102 98 $10K
36415 Collection of venous blood by venipuncture 92 89 $663.32