Medicaid Provider Spending

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

MELISSA A DIETZ, MD, LLC

NPI: 1285022939 · TULSA, OK 74104 · Obstetrics & Gynecology Physician · NPI assigned 01/05/2015

$97K
Total Medicaid Paid
620
Total Claims
615
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDIETZ, MELISSA (MANAGING MEMBER)
NPI Enumeration Date01/05/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 67 $25K
2019 61 $6K
2020 54 $26K
2021 41 $5K
2022 167 $14K
2023 108 $10K
2024 122 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 24 24 $41K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 280 279 $32K
76801 144 144 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 144 140 $11K
81025 15 15 $114.90
96127 13 13 $50.18