Medicaid Provider Spending

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

VESTRA LABS LLC

NPI: 1518546548 · PHOENIX, AZ 85029 · Community Health Clinic/Center · NPI assigned 04/06/2021

$2K
Total Medicaid Paid
220
Total Claims
199
Beneficiaries
3
Codes Billed
2022-06
First Month
2023-02
Last Month

Provider Details

Authorized OfficialNAGELBUSH, MATTHEW (CEO)
NPI Enumeration Date04/06/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 188 $1K
2023 32 $351.96

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0064A 77 72 $830.00
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 112 100 $707.04
91306 31 27 $0.00