Medicaid Provider Spending

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

MONTGOMERY, KELLY

NPI: 1609466770 · MEDINA, OH 44256 · Family Nurse Practitioner · NPI assigned 01/22/2021

$896.65
Total Medicaid Paid
32
Total Claims
25
Beneficiaries
2
Codes Billed
2021-08
First Month
2021-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 32 $896.65

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17 13 $584.84
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 15 12 $311.81