Medicaid Provider Spending

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

PUZZLE PEDIATRICS LLC

NPI: 1205448057 · PRICE, UT 84501 · Pediatrics Physician · NPI assigned 08/21/2020

$25K
Total Medicaid Paid
463
Total Claims
391
Beneficiaries
4
Codes Billed
2021-08
First Month
2022-08
Last Month

Provider Details

Authorized OfficialCRIDDLE, CHARLES (DO/OWNER)
NPI Enumeration Date08/21/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 161 $8K
2022 302 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 344 277 $23K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 16 14 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 78 76 $134.25
90461 25 24 $0.00