Medicaid Provider Spending

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

ROYALTYSTAR LLC

NPI: 1306414313 · SAN ANTONIO, TX 78260 · Psychiatric/Mental Health Nurse Practitioner · NPI assigned 06/15/2021

$15K
Total Medicaid Paid
695
Total Claims
613
Beneficiaries
2
Codes Billed
2022-09
First Month
2024-07
Last Month

Provider Details

Authorized OfficialFOMBO, EPHRAIM (OWNER)
NPI Enumeration Date06/15/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 122 $205.38
2023 386 $9K
2024 187 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 473 421 $10K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 222 192 $4K