Medicaid Provider Spending

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

AMPLE URGENT AND PRIMARY CARE LLC

NPI: 1497474191 · WEST HARTFORD, CT 06110 · Primary Care Clinic/Center · NPI assigned 08/25/2022

$28K
Total Medicaid Paid
722
Total Claims
519
Beneficiaries
3
Codes Billed
2024-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHEIDARI, MOJDEH (OWNER)
NPI Enumeration Date08/25/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 722 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 674 483 $24K
99205 Prolong outpt/office vis 24 14 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 24 22 $1K