Medicaid Provider Spending

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

DAVID ESTABILLO LLC

NPI: 1336637727 · CLOVIS, NM 88101 · Family Nurse Practitioner · NPI assigned 05/01/2018

$521K
Total Medicaid Paid
10,864
Total Claims
9,908
Beneficiaries
18
Codes Billed
2018-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialESTABILLO, DAVID (OWNER)
NPI Enumeration Date05/01/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 53 $4K
2019 1,774 $93K
2020 1,514 $66K
2021 1,570 $76K
2022 2,245 $92K
2023 1,748 $74K
2024 1,960 $116K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,200 1,119 $123K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 761 749 $106K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,222 1,134 $90K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 770 759 $75K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,030 1,008 $42K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,716 1,673 $28K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,619 1,018 $26K
87428 326 319 $23K
87807 285 278 $4K
81003 1,398 1,341 $2K
36415 Collection of venous blood by venipuncture 281 261 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 27 27 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 43 43 $867.36
82962 68 64 $248.04
81025 25 25 $230.23
83036 Hemoglobin; glycosylated (A1C) 12 12 $113.60
81002 13 13 $28.00
99000 68 65 $0.00