Medicaid Provider Spending

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

IMMANUEL FAMILY CLINIC PLLC

NPI: 1265072490 · CARROLLTON, TX 75006 · Family Nurse Practitioner · NPI assigned 01/15/2020

$80.10
Total Medicaid Paid
55
Total Claims
52
Beneficiaries
2
Codes Billed
2022-01
First Month
2022-01
Last Month

Provider Details

Authorized OfficialFERNANDO, SUTHA (OWNER)
NPI Enumeration Date01/15/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 55 $80.10

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 23 23 $56.64
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 32 29 $23.46