Medicaid Provider Spending

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

FORT WAYNE PRIMARY CARE LLC

NPI: 1528707619 · FORT WAYNE, IN 46804 · Internal Medicine Physician · NPI assigned 05/27/2022

$33K
Total Medicaid Paid
464
Total Claims
354
Beneficiary Records
4
Codes Billed
2023-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialVEERULA, VISHAAL (OWNER)
NPI Enumeration Date05/27/2022

Related Entities

Other providers sharing the same authorized official: VEERULA, VISHAAL

ProviderCityStateTotal Paid
FORT WAYNE INTEGRATIVE MEDICINE FORT WAYNE IN $185K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 229 $11K
2024 235 $22K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 274 238 $26K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 118 92 $7K
96160 24 12 $0.00
96127 48 12 $0.00