Medicaid Provider Spending

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

GOOD SAMARITAN FAMILY PRACTICE

NPI: 1366802159 · LAS VEGAS, NV 89141 · Family Nurse Practitioner · NPI assigned 03/07/2016

$216K
Total Medicaid Paid
17,234
Total Claims
15,813
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialKIDIAVAYI, STANLEY (NURSE PRACTICTIONER)
NPI Enumeration Date03/07/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 437 $4K
2019 2,961 $33K
2020 6,075 $81K
2021 4,390 $85K
2022 1,892 $12K
2023 1,394 $1K
2024 85 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99349 2,780 2,451 $51K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,093 1,601 $45K
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 2,452 2,399 $45K
99091 1,740 1,698 $17K
99344 303 294 $12K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 1,060 1,023 $10K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 702 579 $9K
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 610 600 $6K
99497 351 336 $4K
99496 129 121 $4K
99336 59 57 $3K
99358 Prolong nursin fac eval 15m 149 140 $2K
99487 Ccm add 20min 69 68 $1K
99490 Ccm add 20min 965 935 $1K
99335 49 44 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 47 47 $967.10
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 118 116 $728.37
99454 67 61 $663.20
99489 Ccm add 20min 69 68 $657.72
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 70 62 $636.57
99457 69 63 $614.09
99439 888 862 $585.83
99458 79 61 $398.79
99343 15 15 $330.89
99354 15 15 $293.15
99453 31 31 $60.80
99348 126 111 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,452 1,333 $0.00
G9458 Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counseling on the benefits of quitting smoking or tobacco use, assistance with or referral to external smoking or tobacco cessation support programs, or current enrollment in smoking or tobacco use cessation program) if identified as a tobacco user 209 192 $0.00
G9621 Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling 247 223 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 12 12 $0.00
1111F 113 109 $0.00
G9459 Currently a tobacco non-user 31 29 $0.00
1123F 30 30 $0.00
99350 Prolong home eval add 15m 23 15 $0.00
99406 12 12 $0.00