Medicaid Provider Spending

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

BLUE RIVER HEALTH & WELLNESS, PLLC

NPI: 1356073852 · FORT MOHAVE, AZ 86426 · Clinic/Center · NPI assigned 06/24/2022

$98K
Total Medicaid Paid
3,953
Total Claims
3,570
Beneficiaries
16
Codes Billed
2022-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROBERTS, NICOLE (OWNER)
NPI Enumeration Date06/24/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 113 $7K
2023 1,438 $50K
2024 2,402 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,123 1,003 $66K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 217 209 $18K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 303 268 $13K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 20 19 $245.26
1126F 187 177 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 58 54 $0.00
1125F 148 135 $0.00
1000F 391 345 $0.00
1036F 288 258 $0.00
3074F 110 98 $0.00
3079F 28 26 $0.00
1160F 380 342 $0.00
3078F 99 95 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 146 141 $0.00
1159F 440 385 $0.00
3725F 15 15 $0.00