Medicaid Provider Spending

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

PROFESSIONAL HEALTH CARE LLC

NPI: 1528244282 · WEST LINN, OR 97068 · Adult Health Nurse Practitioner · NPI assigned 01/11/2008

$59K
Total Medicaid Paid
4,178
Total Claims
2,779
Beneficiaries
16
Codes Billed
2020-11
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGHOLI, HASSAN (GENERAL MANAGER)
NPI Enumeration Date01/11/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 27 $0.00
2021 2,467 $35K
2022 656 $7K
2023 902 $13K
2024 126 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 1,402 620 $18K
0013A 261 208 $7K
91320 170 134 $7K
0011A 153 142 $5K
90674 602 515 $5K
0001A 284 155 $4K
0031A 314 135 $3K
90480 168 134 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 375 345 $2K
0124A 104 97 $2K
M0201 Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home 107 84 $1K
0004A 45 39 $1K
90661 29 27 $622.09
0003A 17 17 $560.00
G0008 Administration of influenza virus vaccine 114 94 $12.42
90694 33 33 $0.00