Medicaid Provider Spending

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

WESTSIDE MEDICAL PC

NPI: 1558439117 · CLINTON, UT 84015 · Clinic/Center · NPI assigned 12/01/2006

$48K
Total Medicaid Paid
1,174
Total Claims
1,008
Beneficiaries
9
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialSEPER, SUSAN (ADMINISTRATOR)
NPI Enumeration Date12/01/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,174 $48K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 708 608 $47K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12 12 $647.82
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 46 41 $0.00
3008F 214 181 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 30 26 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 58 50 $0.00
3016F 22 18 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 55 47 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 29 25 $0.00