Medicaid Provider Spending

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

COTTONWOOD OB-GYN

NPI: 1417315243 · MURRAY, UT 84107 · Obstetrics & Gynecology Physician · NPI assigned 02/08/2016

$4K
Total Medicaid Paid
65
Total Claims
64
Beneficiaries
3
Codes Billed
2023-02
First Month
2023-09
Last Month

Provider Details

Authorized OfficialTHACKERAY, STEVEN (PARTNER)
NPI Enumeration Date02/08/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 65 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40 39 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13 13 $1K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 12 12 $645.80