Medicaid Provider Spending

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

TYLER STANLEY APRN LLC

NPI: 1245000223 · GLASTONBURY, CT 06033 · Primary Care Clinic/Center · NPI assigned 01/02/2024

$12K
Total Medicaid Paid
188
Total Claims
155
Beneficiaries
5
Codes Billed
2024-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTANLEY, TYLER (NURSE PRACTITIONER)
NPI Enumeration Date01/02/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 188 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 49 47 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 76 56 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 28 28 $2K
99381 22 12 $842.40
90460 Immunization administration through 18 years of age via any route, first or only component 13 12 $200.20