Medicaid Provider Spending

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

FAMILY MEDICINE AND URGENT CARE OF GRAND ISLAND LLC

NPI: 1568968543 · GRAND ISLAND, NE 68801 · Family Medicine Physician · NPI assigned 03/30/2018

$3K
Total Medicaid Paid
70
Total Claims
58
Beneficiaries
3
Codes Billed
2018-07
First Month
2019-01
Last Month

Provider Details

Authorized OfficialNAHRSTEDT, DAWN (MANAGER/PROVIDER)
NPI Enumeration Date03/30/2018

Related Entities

Other providers sharing the same authorized official: NAHRSTEDT, DAWN

ProviderCityStateTotal Paid
DAWN FAMILY PRACTICE LLC AINSWORTH NE $36K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27 $2K
2019 43 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 34 34 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $834.96
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 24 12 $364.10