Medicaid Provider Spending

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

THIRD COAST VASCULAR SC

NPI: 1356085104 · SHEBOYGAN, WI 53081 · Nurse Practitioner · NPI assigned 04/26/2022

$5K
Total Medicaid Paid
265
Total Claims
134
Beneficiaries
1
Codes Billed
2023-12
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSIDERS, TAHA (COO)
NPI Enumeration Date04/26/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 15 $128.41
2024 250 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 265 134 $5K