Medicaid Provider Spending

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

SANDYGREN, NOLAN

NPI: 1578820445 · KEARNS, UT 84118 · Family Medicine Physician · NPI assigned 04/18/2012

$15K
Total Medicaid Paid
332
Total Claims
315
Beneficiaries
3
Codes Billed
2018-01
First Month
2020-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 97 $5K
2019 125 $5K
2020 110 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 266 249 $15K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 33 33 $618.92
90686 33 33 $56.79