Medicaid Provider Spending

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

VERSATILE MEDICINE PLLC

NPI: 1326145608 · AVONDALE, AZ 85392 · Internal Medicine Physician · NPI assigned 09/20/2006

$17K
Total Medicaid Paid
580
Total Claims
485
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialNICHOLS, KATHLEEN (PHYSICIAN/GENERAL MANAGER)
NPI Enumeration Date09/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 212 $8K
2019 176 $5K
2020 166 $3K
2021 13 $671.17
2024 13 $283.65

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 415 373 $16K
90460 Immunization administration through 18 years of age via any route, first or only component 60 55 $1K
90686 15 13 $0.00
99072 90 44 $0.00