Medicaid Provider Spending

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

SPECIALTY CLINICS OF ST ANNE PLLC

NPI: 1356360473 · GUYMON, OK 73942 · Family Medicine Physician · NPI assigned 07/19/2006

$851K
Total Medicaid Paid
13,974
Total Claims
10,537
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBAUTISTA, MARTIN (MD)
NPI Enumeration Date07/19/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 860 $36K
2019 1,332 $67K
2020 1,622 $86K
2021 2,338 $146K
2022 3,342 $206K
2023 2,843 $188K
2024 1,637 $122K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,066 8,249 $778K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 384 367 $18K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 294 275 $15K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 156 155 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,346 880 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 53 53 $7K
80050 General health panel 94 94 $3K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 33 32 $2K
99337 12 12 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17 17 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 14 14 $412.16
J1100 Injection, dexamethasone sodium phosphate, 1 mg 425 338 $61.05
J1885 Injection, ketorolac tromethamine, per 15 mg 31 25 $20.21
J1200 Injection, diphenhydramine hcl, up to 50 mg 34 14 $14.14
J0696 Injection, ceftriaxone sodium, per 250 mg 15 12 $7.49