Medicaid Provider Spending

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

PHOENIX HEALTH CENTER, PLLC

NPI: 1295157337 · TYLER, TX 75702 · Family Medicine Physician · NPI assigned 01/08/2014

$13K
Total Medicaid Paid
505
Total Claims
485
Beneficiaries
4
Codes Billed
2018-01
First Month
2023-05
Last Month

Provider Details

Authorized OfficialJACKSON, DOROTHY (SOLE OWNER)
NPI Enumeration Date01/08/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 58 $956.47
2019 91 $260.00
2020 28 $801.51
2021 257 $9K
2022 56 $2K
2023 15 $281.69

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 304 294 $9K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 95 87 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $996.05
36415 Collection of venous blood by venipuncture 94 92 $0.00