Medicaid Provider Spending

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

GOLDSBORO WELLNESS CENTER,PA

NPI: 1659501930 · GOLDSBORO, NC 27534 · Family Medicine Physician · NPI assigned 07/21/2009

$31K
Total Medicaid Paid
2,277
Total Claims
1,451
Beneficiaries
5
Codes Billed
2018-01
First Month
2018-11
Last Month

Provider Details

Authorized OfficialJIMENEZ, SHANNON (OWNER)
NPI Enumeration Date07/21/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,277 $31K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,302 785 $17K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 637 410 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 22 12 $115.80
81003 85 54 $63.14
3008F 231 190 $0.00