Medicaid Provider Spending

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

FLT LLC

NPI: 1366810970 · ROSWELL, NM 88201 · Family Nurse Practitioner · NPI assigned 09/14/2015

$342K
Total Medicaid Paid
6,554
Total Claims
5,989
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWULF, DAWN (OWNER)
NPI Enumeration Date09/14/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,141 $36K
2019 947 $45K
2020 840 $52K
2021 812 $50K
2022 823 $58K
2023 411 $32K
2024 1,580 $70K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,017 2,726 $277K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 753 704 $36K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 398 379 $7K
99305 115 109 $5K
99443 39 39 $5K
36415 Collection of venous blood by venipuncture 775 748 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity 76 75 $3K
99205 Prolong outpt/office vis 16 16 $2K
99308 Subsequent nursing facility care, per day, straightforward 115 112 $2K
S9999 Sales tax 218 177 $1K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 42 39 $542.30
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 26 26 $529.78
90756 26 26 $470.13
3078F 194 165 $0.00
1159F 69 57 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 32 31 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 102 90 $0.00
1160F 112 94 $0.00
3074F 189 162 $0.00
1126F 126 110 $0.00
3008F 114 104 $0.00