Medicaid Provider Spending

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

MYSTREETHEALTH LIMITED LIABILITY COMPANY

NPI: 1548820780 · ARLINGTON, VA 22209 · Clinic/Center · NPI assigned 06/19/2019

$9K
Total Medicaid Paid
159
Total Claims
93
Beneficiaries
2
Codes Billed
2023-11
First Month
2024-01
Last Month

Provider Details

Authorized OfficialELIAS, N (ADMINISTRATOR)
NPI Enumeration Date06/19/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 123 $7K
2024 36 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 126 61 $7K
99205 Prolong outpt/office vis 33 32 $2K