Medicaid Provider Spending

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

JOHN ALLEN VAN WAGONER, MD, PA

NPI: 1316063993 · PLANO, TX 75093 · Specialist · NPI assigned 03/22/2007

$17K
Total Medicaid Paid
1,472
Total Claims
768
Beneficiaries
3
Codes Billed
2021-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialVAN WAGONER, JOHN (OWNER)
NPI Enumeration Date03/22/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 429 $6K
2022 703 $9K
2023 340 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
95117 1,270 574 $10K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 175 168 $7K
94760 27 26 $50.87