Medicaid Provider Spending

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

SUDAN MEDICAL CLINIC, LLC

NPI: 1225644537 · MULESHOE, TX 79347 · Family Medicine Physician · NPI assigned 09/22/2020

$75K
Total Medicaid Paid
555
Total Claims
471
Beneficiaries
1
Codes Billed
2022-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialALLEN, LISA (OWNER)
NPI Enumeration Date09/22/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 194 $15K
2023 223 $29K
2024 138 $31K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 555 471 $75K