Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › SURPRIZE › OTTAWA UNIVERSITY

OTTAWA UNIVERSITY

NPI: 1346751351 · SURPRIZE, AZ 85374 · General Practice Physician · NPI assigned 10/17/2017

$257.60
Total Medicaid Paid
1,197
Total Claims
98
Beneficiaries
2
Codes Billed
2020-08
First Month
2021-02
Last Month

Provider Details

Authorized OfficialBASS, MOUZON (AGENT)
NPI Enumeration Date10/17/2017

Related Entities

Other providers sharing the same authorized official: BASS, MOUZON

ProviderCityStateTotal Paid
VIRGINIA UNION UNIVERSITY RICHMOND VA $7K
MONROE COLLEGE NEW ROCHELLE NY $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 906 $239.16
2021 291 $18.44

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 862 72 $257.60
99072 335 26 $0.00