Medicaid Provider Spending

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

NEW LIFE WELLNESS LLC

NPI: 1508463639 · HERMISTON, OR 97838 · Medical Specialty Clinic/Center · NPI assigned 10/01/2020

$59K
Total Medicaid Paid
1,121
Total Claims
922
Beneficiaries
9
Codes Billed
2023-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKELLY, RANDALL (PHYSICIAN ASSISTANT, OWNER)
NPI Enumeration Date10/01/2020

Related Entities

Other providers sharing the same authorized official: KELLY, RANDALL

ProviderCityStateTotal Paid
EQUINOX CLINICS LLC EUGENE OR $4.32M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 160 $6K
2024 961 $52K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 281 263 $26K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 432 271 $22K
82075 267 252 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 19 19 $2K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 47 45 $2K
99408 22 22 $515.24
99441 17 14 $309.62
99406 14 14 $144.57
96127 22 22 $85.45