Medicaid Provider Spending

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

BEAR RIVER PRIMARY CARE

NPI: 1609427541 · GAYLORD, MI 49735 · Family Medicine Physician · NPI assigned 09/23/2019

$2.25M
Total Medicaid Paid
56,127
Total Claims
43,842
Beneficiaries
32
Codes Billed
2020-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDURANT, SANDRA (CREDENTIALING)
NPI Enumeration Date09/23/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 5,910 $119K
2021 12,369 $451K
2022 10,929 $419K
2023 13,006 $626K
2024 13,913 $639K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,018 6,948 $684K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,468 5,783 $394K
99215 Prolong outpt/office vis 3,790 3,273 $386K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,415 1,406 $147K
99385 965 965 $91K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,409 1,397 $87K
99386 643 642 $71K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,785 982 $51K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,688 2,326 $48K
99406 5,433 4,404 $48K
80305 4,591 3,406 $34K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 431 429 $32K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 572 570 $24K
96127 6,323 3,884 $21K
99001 1,766 1,331 $18K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,034 1,910 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 497 472 $16K
S9976 Lodging, per diem, not otherwise classified 124 41 $16K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 185 185 $15K
99205 Prolong outpt/office vis 105 103 $10K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,201 935 $10K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 262 239 $10K
86328 348 318 $9K
81025 693 568 $4K
99354 85 80 $4K
99201 132 132 $3K
99417 Prolong home eval add 15m 110 106 $2K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 30 29 $608.11
96160 759 751 $486.45
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 16 15 $198.18
99072 200 166 $9.00
98967 49 46 $0.05