Medicaid Provider Spending

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

NALLEY, MITZI

NPI: 1598722324 · SAN TAN VALLEY, AZ 85140 · Physician Assistant · NPI assigned 04/26/2006

$19K
Total Medicaid Paid
269
Total Claims
241
Beneficiaries
3
Codes Billed
2023-01
First Month
2023-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 269 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 211 184 $17K
90460 Immunization administration through 18 years of age via any route, first or only component 46 45 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12 12 $966.24