Medicaid Provider Spending

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

BELLA FAMILY HEALTHCARE & AESTHETICS

NPI: 1275186835 · MERIDIAN, ID 83646 · Primary Care Clinic/Center · NPI assigned 07/22/2019

$17K
Total Medicaid Paid
270
Total Claims
234
Beneficiaries
6
Codes Billed
2020-11
First Month
2022-03
Last Month

Provider Details

Authorized OfficialJARDINE, SUZANNE (NP, OWNER)
NPI Enumeration Date07/22/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 12 $707.16
2021 177 $10K
2022 81 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 91 86 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 43 39 $3K
99454 53 40 $2K
99457 53 40 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12 12 $707.16
99453 18 17 $205.46