Medicaid Provider Spending

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

SHANNON G. DAVIS, APRN-CNP FAMILY, P.L.L.C

NPI: 1508292210 · OKLAHOMA CITY, OK 73120 · Primary Care Clinic/Center · NPI assigned 09/25/2013

$45K
Total Medicaid Paid
597
Total Claims
495
Beneficiaries
4
Codes Billed
2018-01
First Month
2022-07
Last Month

Provider Details

Authorized OfficialDAVIS, SHANNON (FAMILY NURSE PRACTITIONER)
NPI Enumeration Date09/25/2013

Related Entities

Other providers sharing the same authorized official: DAVIS, SHANNON

ProviderCityStateTotal Paid
TRANQUILITY BEHAVIORAL TELEHEALTH LLC EAGLE RIVER AK $313K
FARTASH OD INC CORONA CA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 182 $11K
2019 86 $5K
2020 115 $9K
2021 81 $7K
2022 133 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 490 402 $39K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 73 60 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 21 21 $2K
96127 13 12 $52.00