Medicaid Provider Spending

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

KALISTA WELLNESS CENTER LLC

NPI: 1679937312 · MEDFORD, OR 97504 · Naturopath · NPI assigned 04/08/2016

$5K
Total Medicaid Paid
153
Total Claims
148
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-08
Last Month

Provider Details

Authorized OfficialGREEN, WENDY (OWNER / DOCTOR)
NPI Enumeration Date04/08/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 153 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 78 73 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13 13 $971.62
96110 Developmental screening, with scoring and documentation, per standardized instrument 62 62 $450.74