Medicaid Provider Spending

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

ELITE PREMIER MEDICAL CARE PLUS LLC.

NPI: 1205531688 · FAIR LAWN, NJ 07410 · Family Medicine Physician · NPI assigned 04/04/2023

$3.70
Total Medicaid Paid
162
Total Claims
133
Beneficiaries
8
Codes Billed
2024-08
First Month
2024-09
Last Month

Provider Details

Authorized OfficialREVOREDO, FRED (MD)
NPI Enumeration Date04/04/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 162 $3.70

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 31 28 $3.70
3008F 19 16 $0.00
2001F 18 15 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14 12 $0.00
2000F 22 16 $0.00
1159F 18 15 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 22 16 $0.00
1160F 18 15 $0.00