Medicaid Provider Spending

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

LA FAMILIA PRIMARY CARE P C

NPI: 1366525537 · RATON, NM 87740 · 261Q00000X

$1.73M
Total Medicaid Paid
62,327
Total Claims
58,640
Beneficiaries
76
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,231 $289K
2019 11,573 $281K
2020 9,910 $253K
2021 11,059 $347K
2022 8,230 $178K
2023 5,868 $190K
2024 5,456 $191K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99490 Ccm add 20min 22,079 21,638 $552K
99214 7,901 7,149 $460K
99213 7,695 6,776 $349K
Q4206 Fluid flow or fluid gf 1 cc 222 191 $96K
G0481 Drug test def 8-14 classes 1,357 1,174 $60K
80053 1,666 1,620 $24K
99212 739 686 $19K
80061 1,419 1,381 $16K
83036 1,437 1,403 $12K
99407 939 808 $12K
90670 118 112 $10K
99497 257 245 $10K
85025 1,652 1,601 $10K
99309 443 438 $9K
G0396 Alcohol/subs interv 15-30mn 1,268 1,118 $8K
90471 352 329 $7K
99402 260 232 $6K
80305 764 710 $6K
99454 1,678 1,597 $5K
36415 1,944 1,852 $5K
93306 47 44 $5K
99457 1,600 1,506 $5K
90674 270 257 $4K
99304 105 88 $3K
90756 191 185 $3K
96138 145 135 $3K
G0442 Annual alcohol screen 15 min 240 227 $2K
99211 164 148 $2K
96103 146 144 $2K
G0444 Depression screen annual 236 222 $2K
96127 457 445 $2K
99408 139 132 $2K
20611 189 164 $2K
99204 13 13 $2K
G0447 Behavior counsel obesity 15m 426 379 $2K
99306 Prolong nursin fac eval 15m 27 26 $1K
99487 Ccm add 20min 24 24 $1K
0124A 37 37 $876.40
93882 21 21 $768.08
G0446 Intens behave ther cardio dx 102 97 $720.29
93978 15 15 $710.26
82306 38 37 $688.90
G0506 Comp asses care plan ccm svc 14 13 $645.32
87880 42 41 $581.88
G2211 Complex e/m visit add on 259 231 $478.50
G0438 Ppps, initial visit 29 28 $474.22
99308 27 26 $471.77
0011A 14 14 $467.89
0012A 14 14 $458.31
0064A 16 14 $440.00
0004A 13 13 $440.00
99307 13 12 $397.48
90732 12 12 $327.75
90460 12 12 $277.07
99401 12 12 $263.41
76775 16 16 $211.14
87804 16 16 $210.17
92250 15 14 $117.24
G0439 Ppps, subseq visit 28 24 $100.31
81003 57 51 $96.62
84443 28 24 $91.37
G0009 Admin pneumococcal vaccine 67 62 $50.34
G0008 Admin influenza virus vac 206 199 $5.41
91312 26 26 $0.08
91313 12 12 $0.02
G8754 Dias bp less 90 766 696 $0.01
G8752 Sys bp less 140 706 647 $0.01
3044F 372 344 $0.00
G8510 Scr dep neg, no plan reqd 118 105 $0.00
G8432 Dep scr not doc, rng 45 41 $0.00
90694 40 39 $0.00
G8755 Dias bp > or = 90 39 36 $0.00
91305 13 13 $0.00
G8753 Sys bp > or = 140 101 96 $0.00
G8431 Pos clin depres scrn f/u doc 127 118 $0.00
3046F 230 213 $0.00