Medicaid Provider Spending

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

RANDALL STREET MEDICAL PC

NPI: 1598734584 · COOPERSVILLE, MI 49404 · Rural Health Clinic/Center · NPI assigned 03/14/2006

$412K
Total Medicaid Paid
15,817
Total Claims
13,804
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOLMAN, ROGER (OWNER/PHYSICIAN)
NPI Enumeration Date03/14/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,465 $61K
2019 1,807 $45K
2020 1,823 $50K
2021 2,158 $63K
2022 2,960 $73K
2023 2,625 $62K
2024 1,979 $59K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 8,057 6,792 $402K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,076 4,450 $8K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 685 649 $843.51
86328 14 14 $411.95
36415 Collection of venous blood by venipuncture 558 528 $127.47
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 126 110 $54.28
81002 26 25 $2.88
1000F 424 410 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 150 146 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 66 64 $0.00
97802 149 145 $0.00
3074F 28 26 $0.00
99406 16 16 $0.00
3080F 14 13 $0.00
3044F 14 14 $0.00
G0444 Annual depression screening, 5 to 15 minutes 340 331 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 23 20 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 14 $0.00
3078F 12 12 $0.00
3077F 13 13 $0.00