Medicaid Provider Spending

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

NOBLE HEALTH AUDRAIN INC

NPI: 1447841168 · MEXICO, MO 65265 · Rural Health Clinic/Center · NPI assigned 01/27/2021

$23K
Total Medicaid Paid
401
Total Claims
372
Beneficiaries
7
Codes Billed
2018-08
First Month
2022-02
Last Month

Provider Details

Authorized OfficialOBRIEN, AMY (CEO)
Parent OrganizationNOBLE HEALTH AUDRAIN INC
NPI Enumeration Date01/27/2021

Related Entities

Other providers sharing the same authorized official: OBRIEN, AMY

ProviderCityStateTotal Paid
NOBLE HEALTH AUDRAIN INC MEXICO MO $1.53M
NOBLE HEALTH AUDRAIN INC MEXICO MO $142K
NOBLE HEALTH AUDRAIN INC WELLSVILLE MO $122K
NOBLE HEALTH AUDRAIN INC MONTGOMERY CITY MO $30K
NOBLE HEALTH AUDRAIN INC MEXICO MO $23K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $947.60
2019 42 $3K
2021 180 $11K
2022 167 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 238 217 $15K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 94 90 $7K
87428 13 13 $840.64
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13 13 $327.85
87430 14 14 $178.08
90686 13 13 $71.14
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 16 12 $13.88