Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Canopy Medical Clinic, PLLC

Canopy Medical Clinic, PLLC was paid $561.00 by Medicaid between Oct 2022 and Jul 2024, across 3 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 49% of everything it billed.

33Billing provider infoCANOPY MEDICAL CLINIC, PLLC
FARGO, ND 58103
33aNPI1386280261assigned 11/26/2019
28Total paid$561.00
24GClaims215
24DCodes billed3
24AFirst – last monthOct 2022 – Jul 2024
Box 24A · Dates of service

Paid by month

$0$200$4002018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
202274$333.09
202367$88.29
2024incomplete74$139.62
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 49% 12 12 $272.55
96160 30% 128 108 $169.08
96127 21% 75 66 $119.37

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSELZLER-ECHOLA, HEIDI (MEDICAL DIRECTOR)