Medicaid Provider Spending

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

FULLMER, JACE

NPI: 1306145776 · SALT LAKE CITY, UT 84107 · Emergency Medicine Physician · NPI assigned 03/23/2011

$20K
Total Medicaid Paid
253
Total Claims
251
Beneficiaries
4
Codes Billed
2018-03
First Month
2022-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 68 $3K
2019 36 $2K
2020 63 $9K
2021 61 $4K
2022 25 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 81 80 $11K
99283 Emergency department visit for the evaluation and management, moderate severity 121 120 $5K
99284 Emergency department visit for the evaluation and management, high severity 39 39 $4K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 12 12 $0.00