Medicaid Provider Spending

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

POLK-NORMAN-MAHNOMEN COMMUNITY HEALTH BOARD

NPI: 1427392455 · CROOKSTON, MN 56716 · Public Health or Welfare Agency · NPI assigned 11/15/2012

$2K
Total Medicaid Paid
135
Total Claims
123
Beneficiaries
2
Codes Billed
2018-03
First Month
2023-04
Last Month

Provider Details

Authorized OfficialKELLER-REESE, SARAH (LEAD AGENT)
NPI Enumeration Date11/15/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26 $436.08
2019 64 $845.53
2023 45 $652.44

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 73 68 $1K
A4267 Contraceptive supply, condom, male, each 62 55 $694.59