Medicaid Provider Spending

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

OMURA, TERRY

NPI: 1417939117 · MURRAY, UT 84107 · Pediatrics Physician · NPI assigned 11/17/2005

$12K
Total Medicaid Paid
300
Total Claims
289
Beneficiaries
6
Codes Billed
2018-02
First Month
2022-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 75 $3K
2019 50 $1K
2020 144 $5K
2022 31 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 132 122 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15 15 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 52 52 $630.48
99051 46 45 $81.34
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 16 16 $0.00
90686 39 39 $0.00