Medicaid Provider Spending

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

PEMBROKE WELLNESS CENTER PLLC

NPI: 1396276655 · PEMBROKE, NH 03275 · Family Medicine Physician · NPI assigned 03/27/2017

$734.27
Total Medicaid Paid
16
Total Claims
14
Beneficiaries
1
Codes Billed
2023-04
First Month
2023-04
Last Month

Provider Details

Authorized OfficialKAITZ, DEBBORAH KAITZ (RN OFFICE MANAGER)
NPI Enumeration Date03/27/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 16 $734.27

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16 14 $734.27