Medicaid Provider Spending

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

MIDGARDEN FAMILY CLINIC PC

NPI: 1619119591 · PARK RIVER, ND 58270 · Health Service Clinic/Center · NPI assigned 03/24/2009

$1K
Total Medicaid Paid
134
Total Claims
112
Beneficiaries
5
Codes Billed
2018-01
First Month
2019-01
Last Month

Provider Details

Authorized OfficialMIDGARDEN, KRISTI (OWNER)
NPI Enumeration Date03/24/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 119 $377.23
2019 15 $753.96

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15 13 $753.96
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 16 14 $359.39
90688 17 15 $17.84
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 53 44 $0.00
G9275 Documentation that patient is a current non-tobacco user 33 26 $0.00