Medicaid Provider Spending

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

E DAWN MARTIN CACIII LLC

NPI: 1205326428 · COLORADO SPRINGS, CO 80910 · Primary Care Clinic/Center · NPI assigned 05/14/2018

$1.82M
Total Medicaid Paid
15,893
Total Claims
13,663
Beneficiaries
11
Codes Billed
2019-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARTIN, ELIZABETH (OWNER)
NPI Enumeration Date05/14/2018

Related Entities

Other providers sharing the same authorized official: MARTIN, ELIZABETH

ProviderCityStateTotal Paid
E DAWN MARTIN CACIII LLC COLORADO SPRINGS CO $2.25M
E DAWN MARTIN CACIII LLC COLORADO SPRINGS CO $500K
HOLISTIC COMMUNITY THERAPY LLC PORTLAND OR $93K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,873 $263K
2020 2,458 $266K
2021 2,440 $387K
2022 2,373 $394K
2023 3,808 $377K
2024 2,941 $129K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J2315 Injection, naltrexone, depot form, 1 mg 852 742 $1.10M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,954 3,363 $387K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 857 834 $120K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,356 1,190 $80K
96127 4,085 3,403 $43K
80305 2,456 2,095 $30K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 347 291 $23K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,237 1,111 $19K
81025 724 610 $6K
99215 Prolong outpt/office vis 12 12 $2K
36415 Collection of venous blood by venipuncture 13 12 $35.28