Medicaid Provider Spending

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

JONATHAN RAY LONG MD LLC

NPI: 1225349244 · WEATHERFORD, OK 73096 · Family Medicine Physician · NPI assigned 06/24/2010

$88K
Total Medicaid Paid
1,319
Total Claims
1,230
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-03
Last Month

Provider Details

Authorized OfficialLONG, JONATHON (PRESIDENT)
NPI Enumeration Date06/24/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 263 $13K
2019 105 $7K
2020 173 $7K
2021 244 $17K
2022 242 $19K
2023 250 $22K
2024 42 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,136 1,057 $79K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 139 129 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 16 16 $296.99
90686 16 16 $33.94