Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › RENTON › MARANATHA MEDICAL CLINIC INC P S

MARANATHA MEDICAL CLINIC INC P S

NPI: 1205164639 · RENTON, WA 98055 · Internal Medicine Physician · NPI assigned 11/23/2009

$17K
Total Medicaid Paid
4,380
Total Claims
1,862
Beneficiaries
2
Codes Billed
2018-01
First Month
2020-12
Last Month

Provider Details

Authorized OfficialGRAV ES, DAN (PRESIDENT)
NPI Enumeration Date11/23/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,109 $10K
2019 1,929 $7K
2020 342 $637.29

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99307 4,367 1,850 $17K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13 12 $279.37