Medicaid Provider Spending

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

SELAH WELLNESS CLINIC LLC

NPI: 1215676747 · SANDSTONE, MN 55072 · Primary Care Clinic/Center · NPI assigned 06/02/2022

$250K
Total Medicaid Paid
2,956
Total Claims
2,258
Beneficiaries
18
Codes Billed
2022-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKELLER, TINA (VP COMPLIANCE)
NPI Enumeration Date06/02/2022

Related Entities

Other providers sharing the same authorized official: KELLER, TINA

ProviderCityStateTotal Paid
MESSER CHIROPRACTIC PC BISMARCK ND $105K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 30 $1K
2023 878 $83K
2024 2,048 $166K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 453 236 $97K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 765 673 $54K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 716 570 $44K
99215 Prolong outpt/office vis 120 71 $20K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 190 134 $18K
90834 Psychotherapy, 45 minutes with patient 33 26 $4K
99348 138 110 $4K
90791 Psychiatric diagnostic evaluation 12 12 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 62 40 $2K
96127 239 191 $595.14
11721 30 28 $456.42
99342 16 13 $283.82
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 33 32 $274.27
90785 38 24 $266.48
36415 Collection of venous blood by venipuncture 33 27 $222.84
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 36 31 $175.47
11719 26 25 $130.85
96160 16 15 $9.44