Medicaid Provider Spending

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

FORWARD CARE FAMILY PRACTICE, PLLC

NPI: 1205435880 · GLENDALE, AZ 85301 · Physician Assistant · NPI assigned 10/23/2020

$67K
Total Medicaid Paid
1,172
Total Claims
939
Beneficiaries
9
Codes Billed
2021-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDAVIDOV, ELLANA (AUTHORIZED OFFICIAL/OWNER)
NPI Enumeration Date10/23/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 155 $6K
2022 129 $8K
2023 334 $20K
2024 554 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 877 695 $61K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 40 38 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38 31 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17 15 $1K
81002 129 108 $337.66
81025 19 15 $116.49
99000 13 12 $91.53
96127 24 13 $59.23
36415 Collection of venous blood by venipuncture 15 12 $35.19