Medicaid Provider Spending

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

ICON CLINIC LLC

NPI: 1245808666 · WASHINGTON, DC 20018 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 06/13/2021

$6K
Total Medicaid Paid
45
Total Claims
37
Beneficiaries
2
Codes Billed
2023-01
First Month
2023-08
Last Month

Provider Details

Authorized OfficialEGWUATU, THICKNESS (PROVIDER/CEO)
NPI Enumeration Date06/13/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 45 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 28 24 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17 13 $2K