Medicaid Provider Spending

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

PROMISE MEDICAL PLLC

NPI: 1548753866 · OREM, UT 84057 · Primary Care Clinic/Center · NPI assigned 06/12/2018

$925K
Total Medicaid Paid
14,730
Total Claims
8,231
Beneficiaries
11
Codes Billed
2019-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialVINCENT, ANNE (OWNER)
NPI Enumeration Date06/12/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 848 $29K
2020 778 $35K
2021 2,486 $145K
2022 3,592 $231K
2023 3,058 $227K
2024 3,968 $260K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 3,996 1,184 $477K
99417 Prolong home eval add 15m 3,039 933 $162K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,765 1,446 $139K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,196 1,793 $131K
80305 3,319 2,563 $12K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 31 29 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 83 78 $624.04
90674 74 71 $529.42
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 104 39 $2.40
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 109 83 $0.00
90756 14 12 $0.00