Medicaid Provider Spending

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

HYDRO MEDICAL CLINIC PLLC

NPI: 1447404868 · HYDRO, OK 73048 · Family Medicine Physician · NPI assigned 11/12/2008

$93K
Total Medicaid Paid
1,677
Total Claims
1,598
Beneficiary Records
4
Codes Billed
2018-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSTUTZMAN, BRENDA (OWNER)
NPI Enumeration Date11/12/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 42 $550.98
2019 203 $8K
2020 329 $15K
2021 304 $17K
2022 381 $25K
2023 270 $18K
2024 148 $9K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,429 1,352 $81K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 154 152 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 80 80 $1K
90686 14 14 $109.98