Medicaid Provider Spending

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

HOLY FAMILY CATHOLIC CLINIC, P.S.

NPI: 1619588175 · WEST LINN, OR 97068 · Internal Medicine Physician · NPI assigned 08/10/2020

$129K
Total Medicaid Paid
2,688
Total Claims
1,977
Beneficiaries
6
Codes Billed
2021-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJOSE, JESSICA (BUSINESS MANAGER)
NPI Enumeration Date08/10/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 91 $2K
2022 382 $18K
2023 1,228 $59K
2024 987 $51K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 940 805 $87K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 361 324 $23K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 67 58 $9K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 266 240 $4K
96127 1,029 525 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 25 25 $3K