Medicaid Provider Spending

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

GSG PRIDE HEALTHCARE LLC

NPI: 1437622701 · PENDLETON, IN 46064 · Rural Health Clinic/Center · NPI assigned 01/09/2019

$13K
Total Medicaid Paid
953
Total Claims
852
Beneficiary Records
7
Codes Billed
2019-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGONZALEZ, TARIS (NURSE PRACTITIONER/OWNER)
NPI Enumeration Date01/09/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 210 $150.18
2020 148 $2K
2021 289 $4K
2022 176 $5K
2023 101 $871.04
2024 29 $338.27

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99349 581 516 $8K
99350 Prolong home eval add 15m 253 242 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15 14 $161.12
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 12 $132.68
99348 48 30 $4.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 20 18 $0.00
99497 22 20 $0.00