Medicaid Provider Spending

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

COUNTY OF WARD

NPI: 1588672448 · MONAHANS, TX 79756 · Rural Health Clinic/Center · NPI assigned 08/04/2006

$1.52M
Total Medicaid Paid
15,013
Total Claims
12,848
Beneficiaries
17
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRODRIGUEZ, LETICIA (CEO)
NPI Enumeration Date08/04/2006

Related Entities

Other providers sharing the same authorized official: RODRIGUEZ, LETICIA

ProviderCityStateTotal Paid
COUNTY OF WARD MONAHANS TX $713K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 366 $44K
2021 3,639 $369K
2022 4,416 $393K
2023 3,977 $423K
2024 2,615 $294K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 9,033 7,516 $1.28M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,495 1,293 $127K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 861 776 $60K
99308 Subsequent nursing facility care, per day, straightforward 608 527 $15K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 101 84 $12K
99307 590 518 $10K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 48 43 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 40 35 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 87 71 $5K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 104 104 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 20 12 $2K
CP007 48 45 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 495 453 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,112 1,028 $583.38
87400 307 292 $178.05
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 45 39 $0.00
90472 Immunization administration, each additional vaccine (list separately) 19 12 $0.00