Medicaid Provider Spending

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

EDEN PRACTITIONERS LLC

NPI: 1376219147 · MEDFORD, OR 97504 · Community Health Nurse Practitioner · NPI assigned 08/20/2021

$2K
Total Medicaid Paid
102
Total Claims
62
Beneficiaries
3
Codes Billed
2023-02
First Month
2023-11
Last Month

Provider Details

Authorized OfficialFICKES, DANE (OWNER)
NPI Enumeration Date08/20/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 102 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 29 21 $1K
99401 47 25 $294.13
99406 26 16 $72.83