Medicaid Provider Spending

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

PRESCOTT FAMILY PRACTICE AND WELLNESS, LLC

NPI: 1265958755 · PRESCOTT, AZ 86305 · Family Nurse Practitioner · NPI assigned 08/16/2017

$57K
Total Medicaid Paid
1,162
Total Claims
978
Beneficiaries
5
Codes Billed
2018-01
First Month
2020-07
Last Month

Provider Details

Authorized OfficialTEN EYCK, STEPHANIE (OWNER)
NPI Enumeration Date08/16/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 404 $18K
2019 451 $23K
2020 307 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 932 778 $47K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 60 55 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 131 106 $5K
99401 27 27 $639.24
96127 12 12 $0.00