Medicaid Provider Spending

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

DESOTO HEALTHCARE CLINIC LLC

NPI: 1225707342 · IRVING, TX 75062 · Family Medicine Physician · NPI assigned 09/10/2021

$87K
Total Medicaid Paid
4,607
Total Claims
4,327
Beneficiaries
26
Codes Billed
2023-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSALIM, NAUREEN (OWNER)
NPI Enumeration Date09/10/2021

Related Entities

Other providers sharing the same authorized official: SALIM, NAUREEN

ProviderCityStateTotal Paid
VITAL HOUSECALL LLC IRVING TX $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 1,939 $6K
2024 2,668 $81K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99350 Prolong home eval add 15m 1,271 1,054 $66K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 527 499 $8K
99348 164 161 $5K
99345 Prolong home eval add 15m 41 40 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 34 34 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 87 85 $579.32
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 33 23 $498.72
96132 61 60 $449.84
99423 163 154 $377.20
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 339 339 $259.16
96136 61 60 $225.24
99458 439 439 $208.77
99497 216 210 $138.34
99457 439 439 $129.65
99454 294 294 $104.37
99490 Ccm add 20min 28 28 $39.24
95923 14 14 $9.32
93922 15 14 $5.86
95921 14 14 $5.79
99453 14 14 $3.10
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 202 202 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 13 13 $0.00
99439 28 28 $0.00
99496 12 12 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 86 85 $0.00
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 12 12 $0.00