Medicaid Provider Spending

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

SONSHINE FAMILY HEALTH CLINIC, LLC

NPI: 1669682381 · BOISE, ID 83704 · Family Nurse Practitioner · NPI assigned 05/23/2007

$20K
Total Medicaid Paid
447
Total Claims
412
Beneficiary Records
7
Codes Billed
2018-01
First Month
2019-01
Last Month

Provider Details

Authorized OfficialBETHEL, TAMARA (MEMBER)
NPI Enumeration Date05/23/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 432 $19K
2019 15 $762.85

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 242 217 $12K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 67 62 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 45 41 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 38 38 $792.26
90686 16 16 $154.17
36415 Collection of venous blood by venipuncture 27 26 $59.80
96127 12 12 $47.96