Medicaid Provider Spending

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

GREAT LIFE MEDICAL CENTER LLC

NPI: 1487351854 · LAS VEGAS, NV 89142 · General Practice Physician · NPI assigned 02/15/2023

$704K
Total Medicaid Paid
7,534
Total Claims
1,060
Beneficiaries
6
Codes Billed
2023-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialREYES - BLANCO, IROSBEL (CEO)
NPI Enumeration Date02/15/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 931 $87K
2024 6,603 $617K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90876 7,348 878 $692K
90837 Psychotherapy, 53 minutes with patient 98 94 $8K
90791 Psychiatric diagnostic evaluation 16 16 $2K
99215 Prolong outpt/office vis 15 15 $1K
H0004 Behavioral health counseling and therapy, per 15 minutes 28 28 $847.84
96158 29 29 $517.36