Medicaid Provider Spending

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

WIREGRASS DIRECT PRIMARY CARE PLLC

NPI: 1649827577 · WESLEY CHAPEL, FL 33544 · Internal Medicine Physician · NPI assigned 08/26/2019

$143K
Total Medicaid Paid
5,879
Total Claims
4,977
Beneficiaries
10
Codes Billed
2020-12
First Month
2024-08
Last Month

Provider Details

Authorized OfficialIPOCK, DENNIS (MANAGER)
NPI Enumeration Date08/26/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 18 $742.64
2021 1,386 $30K
2022 1,614 $38K
2023 2,388 $60K
2024 473 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,695 2,198 $90K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,535 1,355 $34K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 88 80 $6K
99215 Prolong outpt/office vis 91 85 $5K
36415 Collection of venous blood by venipuncture 906 822 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 188 179 $2K
99205 Prolong outpt/office vis 15 14 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 33 28 $457.08
96127 83 49 $0.00
99072 245 167 $0.00