Medicaid Provider Spending

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

LAKE SUPERIOR STATE UNIVERSITY

NPI: 1467454199 · SAULT SAINTE MARIE, MI 49783 · Nurse Practitioner · NPI assigned 08/12/2005

$9K
Total Medicaid Paid
220
Total Claims
193
Beneficiaries
3
Codes Billed
2018-01
First Month
2021-11
Last Month

Provider Details

Authorized OfficialPERESS, KENNETH (VICE PRESIDENT STUDENT AFFAIRS)
NPI Enumeration Date08/12/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 88 $4K
2019 33 $1K
2020 43 $2K
2021 56 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 164 140 $7K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 39 37 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 17 16 $722.16