Medicaid Provider Spending

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

FAYETTEVILLE INTERNAL MEDICINE PLLC

NPI: 1417684135 · FAYETTEVILLE, NC 28304 · Family Nurse Practitioner · NPI assigned 08/03/2022

$20K
Total Medicaid Paid
1,145
Total Claims
768
Beneficiaries
9
Codes Billed
2022-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFORTIN, JENNIFER (OFFICE MANAGER)
NPI Enumeration Date08/03/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 32 $0.00
2023 458 $4K
2024 655 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 309 217 $13K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 190 110 $3K
99215 Prolong outpt/office vis 30 26 $2K
99490 Ccm add 20min 262 167 $857.69
99441 26 16 $350.92
81002 198 127 $280.35
99199 Unlisted special service, procedure or report 71 71 $220.00
96127 27 16 $37.41
G0444 Annual depression screening, 5 to 15 minutes 32 18 $0.00