Medicaid Provider Spending

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

LILY CREEK MEDICAL GROUP, PSC

NPI: 1205987542 · RUSSELL SPRINGS, KY 42642 · Family Nurse Practitioner · NPI assigned 01/15/2007

$3K
Total Medicaid Paid
86
Total Claims
82
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-01
Last Month

Provider Details

Authorized OfficialBERTRAM, ROBERT (PRESIDENT)
NPI Enumeration Date01/15/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 86 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99050 50 50 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16 16 $754.88
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20 16 $621.36