Medicaid Provider Spending

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

DADRA MEDICAL PC

NPI: 1407252844 · BULLHEAD CITY, AZ 86442 · Internal Medicine Physician · NPI assigned 11/12/2014

$119K
Total Medicaid Paid
1,361
Total Claims
1,267
Beneficiaries
6
Codes Billed
2021-04
First Month
2024-09
Last Month

Provider Details

Authorized OfficialCHOUDHRY, IHTISHAM (PHYSICIAN)
NPI Enumeration Date11/12/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 62 $5K
2022 224 $21K
2023 694 $60K
2024 381 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 595 594 $61K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 573 507 $40K
99215 Prolong outpt/office vis 131 115 $13K
99239 Hospital discharge day management, more than 30 minutes 27 27 $2K
99223 Prolong inpt eval add15 m 12 12 $2K
99233 Prolong inpt eval add15 m 23 12 $2K