Medicaid Provider Spending

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

CLEANSLATE MEDICAL GROUP OF TEXAS PLLC

NPI: 1487192522 · ARLINGTON, TX 76010 · Adult Mental Health Clinic/Center

$160K
Total Medicaid Paid
4,765
Total Claims
3,244
Beneficiaries
9
Codes Billed
2020-10
First Month
2023-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 309 $10K
2021 2,008 $62K
2022 2,011 $69K
2023 437 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80307 1,906 1,308 $78K
99214 1,301 774 $39K
99213 1,091 825 $26K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 373 246 $16K
87389 19 19 $337.05
86803 19 19 $186.34
87340 19 19 $134.96
80076 19 17 $83.93
36415 18 17 $0.00