Medicaid Provider Spending

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

MONTIEL, A.

NPI: 1689716888 · SALT LAKE CITY, UT 84102 · Obstetrics & Gynecology Nurse Practitioner · NPI assigned 02/13/2007

$6K
Total Medicaid Paid
162
Total Claims
148
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 162 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 64 55 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 42 40 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 39 36 $234.80
85018 17 17 $0.00