Medicaid Provider Spending

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

OLIVE BRANCH FAMILY HEALTH INC

NPI: 1245530344 · ENTERPRISE, OR 97828 · General Practice Physician · NPI assigned 10/24/2010

$38K
Total Medicaid Paid
1,264
Total Claims
980
Beneficiaries
6
Codes Billed
2018-01
First Month
2021-04
Last Month

Provider Details

Authorized OfficialDEVORE, POLLY (MANAGER)
NPI Enumeration Date10/24/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 345 $15K
2019 349 $11K
2020 402 $8K
2021 168 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 540 424 $25K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 119 97 $8K
99490 Ccm add 20min 453 327 $3K
36410 126 108 $1K
90674 12 12 $192.40
81002 14 12 $19.52