Medicaid Provider Spending

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

PETERSON, MITCHELL

NPI: 1629489596 · SOUTH JORDAN, UT 84095 · Student in an Organized Health Care Education/Training Program · NPI assigned 05/14/2014

$12K
Total Medicaid Paid
282
Total Claims
268
Beneficiaries
4
Codes Billed
2019-11
First Month
2024-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 29 $14.52
2020 30 $13.81
2021 69 $1K
2022 111 $8K
2024 43 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 89 84 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 61 59 $4K
90686 13 12 $159.70
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 119 113 $28.33