Medicaid Provider Spending

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

FAITH MEDICAL CLINIC, PLLC

NPI: 1417368168 · CANYON, TX 79015 · Family Nurse Practitioner · NPI assigned 05/15/2014

$124K
Total Medicaid Paid
5,700
Total Claims
4,733
Beneficiaries
16
Codes Billed
2018-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFULLER, GLORIA (OWNER)
NPI Enumeration Date05/15/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 20 $223.71
2020 248 $5K
2021 1,947 $38K
2022 2,140 $46K
2023 996 $24K
2024 349 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,896 2,374 $79K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 407 360 $18K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 231 221 $10K
99000 725 593 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 180 140 $4K
87430 260 237 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 171 132 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 149 113 $1K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 43 35 $703.80
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 49 48 $458.37
36410 42 37 $416.76
90674 25 15 $158.34
99001 102 75 $84.09
36415 Collection of venous blood by venipuncture 385 322 $0.00
G0008 Administration of influenza virus vaccine 17 16 $0.00
96127 18 15 $0.00