Medicaid Provider Spending

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

1457697161

NPI: 1457697161

Deactivated NPI · This NPI was deactivated on 09/30/2025.
$2.97M
Total Medicaid Paid
24,111
Total Claims
18,596
Beneficiaries
18
Codes Billed
2019-06
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,543 $163K
2020 7,625 $810K
2021 4,766 $620K
2022 3,503 $448K
2023 3,411 $453K
2024 3,263 $478K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 9,006 6,238 $1.84M
90791 Psychiatric diagnostic evaluation 2,447 2,066 $361K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,557 3,867 $231K
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit 983 907 $225K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 2,244 1,040 $183K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 300 284 $78K
90832 Psychotherapy, 30 minutes with patient 313 216 $23K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,203 1,995 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,296 1,229 $9K
99442 47 46 $3K
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 20 19 $2K
99443 14 14 $505.71
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 13 13 $254.32
36415 Collection of venous blood by venipuncture 505 499 $0.00
90656 27 27 $0.00
90688 58 58 $0.00
11721 26 26 $0.00
11719 52 52 $0.00