Medicaid Provider Spending

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

WEST BROADWAY CLINIC, PC

NPI: 1407031230 · COUNCIL BLUFFS, IA 51501 · Family Medicine Physician · NPI assigned 12/28/2007

$510K
Total Medicaid Paid
24,978
Total Claims
21,354
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARAR, ISAM (PRESIDENT)
NPI Enumeration Date12/28/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,953 $82K
2019 3,647 $88K
2020 3,438 $71K
2021 3,740 $72K
2022 4,180 $78K
2023 3,635 $71K
2024 2,385 $48K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,745 7,239 $318K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,681 2,986 $110K
99215 Prolong outpt/office vis 467 393 $19K
36415 Collection of venous blood by venipuncture 7,209 6,637 $16K
90686 804 729 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 912 849 $6K
96127 130 116 $5K
90688 386 221 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 40 38 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 43 41 $4K
71046 Radiologic examination, chest; 2 views 182 139 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 203 84 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 148 143 $2K
81003 924 767 $1K
82043 291 257 $1K
82570 292 258 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 14 $812.52
90656 71 71 $757.67
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 19 14 $502.05
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 141 115 $340.89
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 58 52 $269.69
90472 Immunization administration, each additional vaccine (list separately) 13 13 $218.52
G0008 Administration of influenza virus vaccine 191 164 $5.09
90651 14 14 $0.00