Medicaid Provider Spending

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

CLINICA MD LLC

NPI: 1649703430 · SEAGOVILLE, TX 75159 · Family Nurse Practitioner · NPI assigned 04/07/2017

$190K
Total Medicaid Paid
8,545
Total Claims
7,091
Beneficiaries
18
Codes Billed
2020-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialTHOMAS, LISSA (CEO)
NPI Enumeration Date04/07/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 154 $2K
2021 1,455 $32K
2022 3,132 $58K
2023 2,218 $45K
2024 1,586 $53K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,163 1,655 $73K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,374 1,166 $38K
99091 246 228 $29K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 245 232 $17K
87631 205 185 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 354 324 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 58 51 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 246 209 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 50 49 $2K
81002 897 786 $2K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 828 604 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 156 99 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 12 $804.50
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 18 12 $800.45
G0444 Annual depression screening, 5 to 15 minutes 313 270 $551.25
G0442 Annual alcohol misuse screening, 5 to 15 minutes 276 233 $504.00
36415 Collection of venous blood by venipuncture 1,088 964 $449.75
99215 Prolong outpt/office vis 15 12 $91.83