Medicaid Provider Spending

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

JEANNETTE PETERSON MD INC

NPI: 1194735811 · FAIRFIELD, CA 94533 · Primary Care Clinic/Center · NPI assigned 08/08/2006

$1K
Total Medicaid Paid
4,997
Total Claims
4,895
Beneficiaries
4
Codes Billed
2018-01
First Month
2022-10
Last Month

Provider Details

Authorized OfficialPETERSON, JEANNETTE (PRESIDENT)
NPI Enumeration Date08/08/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,044 $341.90
2019 1,065 $0.00
2020 961 $174.00
2021 963 $123.00
2022 964 $430.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,956 2,900 $671.90
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,991 1,945 $360.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 36 36 $37.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 14 14 $0.00