Medicaid Provider Spending

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

MAIN STREET FAMILY PRACTICE, P.C.

NPI: 1356410146 · FLORENCE, AZ 85232 · Family Medicine Physician · NPI assigned 11/07/2006

$97K
Total Medicaid Paid
2,095
Total Claims
1,666
Beneficiaries
4
Codes Billed
2018-01
First Month
2021-06
Last Month

Provider Details

Authorized OfficialLIZARRAGA, BETH (OWNER)
NPI Enumeration Date11/07/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,059 $45K
2019 704 $33K
2020 223 $13K
2021 109 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,473 1,165 $73K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 590 477 $24K
90460 Immunization administration through 18 years of age via any route, first or only component 17 12 $140.22
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 15 12 $0.00