Medicaid Provider Spending

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

DESERET FAMILY MEDICINE AT GREENFIELD PLC

NPI: 1619620200 · MESA, AZ 85207 · Primary Care Clinic/Center · NPI assigned 02/02/2022

$29K
Total Medicaid Paid
1,618
Total Claims
1,463
Beneficiaries
5
Codes Billed
2022-06
First Month
2024-09
Last Month

Provider Details

Authorized OfficialFAZZ, HUGO (OWNER)
NPI Enumeration Date02/02/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 618 $13K
2023 598 $5K
2024 402 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 522 463 $19K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 356 335 $10K
3078F 261 235 $0.00
3074F 141 129 $0.00
3008F 338 301 $0.00