Medicaid Provider Spending

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

JORDAN FAMILY CLINIC INC

NPI: 1518467976 · FORT WORTH, TX 76133 · Primary Care Nurse Practitioner · NPI assigned 02/12/2018

$71K
Total Medicaid Paid
1,202
Total Claims
1,034
Beneficiaries
7
Codes Billed
2021-11
First Month
2024-08
Last Month

Provider Details

Authorized OfficialSTEVENS, RHODA (FAMILY NURSE PRACTITIONER)
NPI Enumeration Date02/12/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 45 $2K
2022 492 $22K
2023 454 $29K
2024 211 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 754 627 $31K
99091 230 215 $29K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 150 133 $4K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 12 12 $4K
99385 14 14 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 30 21 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $636.85