Medicaid Provider Spending

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

SAWTOOTH MOUNTAIN CLINIC, INC.

NPI: 1306832894 · GRAND MARAIS, MN 55604 · Clinical Social Worker · NPI assigned 09/21/2005

$2.45M
Total Medicaid Paid
19,498
Total Claims
15,278
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTODDARD, JEFF (CFO)
NPI Enumeration Date09/21/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,110 $240K
2019 5,563 $294K
2020 2,154 $287K
2021 2,398 $520K
2022 2,067 $486K
2023 1,139 $313K
2024 1,067 $312K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,843 7,153 $1.37M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,994 2,393 $400K
90834 Psychotherapy, 45 minutes with patient 1,614 813 $331K
X5622 1,310 1,062 $159K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 526 484 $125K
90832 Psychotherapy, 30 minutes with patient 423 269 $66K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 42 29 $472.29
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 719 587 $62.18
83036 Hemoglobin; glycosylated (A1C) 20 12 $31.71
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 329 291 $1.21
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,315 1,056 $0.00
92551 411 348 $0.00
90686 230 181 $0.00
96127 14 14 $0.00
99173 149 132 $0.00
90682 29 28 $0.00
99188 239 191 $0.00
90633 12 12 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 222 170 $0.00
90461 19 16 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13 13 $0.00
90472 Immunization administration, each additional vaccine (list separately) 13 12 $0.00