Medicaid Provider Spending

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

UPPER VALLEY FAMILY CLINIC, PLLC

NPI: 1194345405 · EDINBURG, TX 78541 · Primary Care Clinic/Center · NPI assigned 04/16/2020

$26K
Total Medicaid Paid
954
Total Claims
764
Beneficiaries
5
Codes Billed
2022-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialRODRIGUEZ, NILDA (FAMILY NURSE PRACTITIONER)
NPI Enumeration Date04/16/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 316 $6K
2023 389 $11K
2024 249 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 505 392 $14K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 278 234 $11K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 33 24 $951.74
S8301 Infection control supplies, not otherwise specified 14 12 $57.00
36415 Collection of venous blood by venipuncture 124 102 $0.00