Medicaid Provider Spending

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

MONTOYA FAMILY PRACTICE, PA

NPI: 1265592232 · WICHITA, KS 67207 · Physician Assistant · NPI assigned 12/11/2006

$1.88M
Total Medicaid Paid
62,228
Total Claims
57,570
Beneficiaries
57
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMONTOYA, NATALIA (OWNER)
NPI Enumeration Date12/11/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,793 $307K
2019 11,472 $331K
2020 10,492 $318K
2021 10,999 $295K
2022 9,861 $273K
2023 7,124 $208K
2024 4,487 $144K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,430 23,947 $856K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,956 2,760 $186K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,939 2,778 $185K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,127 2,905 $148K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,222 2,108 $145K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,341 1,259 $86K
90460 Immunization administration through 18 years of age via any route, first or only component 2,447 2,318 $82K
90472 Immunization administration, each additional vaccine (list separately) 1,459 1,400 $59K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,197 2,124 $41K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 546 539 $18K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 946 477 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 203 186 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,652 1,590 $11K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 157 149 $7K
90473 344 325 $6K
81002 2,140 2,000 $5K
99383 41 40 $3K
0001A 64 63 $2K
0071A 48 48 $2K
99381 41 39 $2K
81025 294 276 $2K
0002A 41 40 $1K
92551 115 114 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 26 25 $729.12
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 14 13 $681.51
90688 700 686 $551.53
99173 117 116 $483.75
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 62 52 $357.50
96127 121 120 $313.65
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $252.89
81005 237 229 $239.65
90686 427 412 $226.10
D1206 Topical application of fluoride varnish 13 12 $204.00
82962 33 29 $122.08
90715 236 228 $84.28
81003 31 31 $37.50
36415 Collection of venous blood by venipuncture 2,336 2,233 $13.50
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 123 119 $7.90
90700 14 14 $0.00
91300 171 161 $0.00
90670 788 761 $0.00
90633 417 403 $0.00
90461 1,198 1,126 $0.00
90734 681 661 $0.00
90710 387 379 $0.00
94150 14 14 $0.00
90649 20 20 $0.00
G0444 Annual depression screening, 5 to 15 minutes 14 13 $0.00
90723 539 521 $0.00
90651 475 462 $0.00
90680 371 359 $0.00
90647 606 584 $0.00
90696 109 106 $0.00
90619 52 50 $0.00
91305 36 36 $0.00
91307 86 86 $0.00
90656 12 12 $0.00