Medicaid Provider Spending

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

VISTA MARIA

NPI: 1477639458 · DEARBORN HEIGHTS, MI 48127 · Emotionally Disturbed Childrens' Residential Treatment Facility · NPI assigned 10/31/2006

$405K
Total Medicaid Paid
10,247
Total Claims
6,693
Beneficiaries
10
Codes Billed
2018-01
First Month
2022-12
Last Month

Provider Details

Authorized OfficialGODDIN, EARL (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date10/31/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,799 $162K
2019 3,686 $154K
2020 2,334 $74K
2021 403 $13K
2022 25 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,358 3,132 $326K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,608 1,689 $35K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 719 566 $29K
99384 36 36 $4K
90792 Psychiatric diagnostic evaluation with medical services 43 41 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 29 29 $3K
36415 Collection of venous blood by venipuncture 917 713 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 234 233 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 128 88 $1K
86580 175 166 $843.11