Medicaid Provider Spending

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

CHARLES D. MANTER DO PC

NPI: 1457531808 · GREELEY, CO 80634 · Family Medicine Physician · NPI assigned 11/13/2007

$52K
Total Medicaid Paid
1,220
Total Claims
1,109
Beneficiaries
10
Codes Billed
2018-01
First Month
2018-06
Last Month

Provider Details

Authorized OfficialMANTER, CHARLES (OWNER)
NPI Enumeration Date11/13/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,220 $52K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 448 401 $24K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 264 236 $19K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 69 69 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 43 42 $795.06
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 48 47 $723.33
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 43 41 $538.65
36415 Collection of venous blood by venipuncture 221 200 $399.90
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 29 28 $313.62
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 18 12 $256.28
81002 37 33 $86.84