Medicaid Provider Spending

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

SARAH MOON THELEN MD PLLC

NPI: 1689971525 · FAYETTEVILLE, TN 37334 · Family Medicine Physician · NPI assigned 02/11/2011

$89K
Total Medicaid Paid
5,924
Total Claims
4,865
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTHELEN, SARAH (PHYSICIAN)
NPI Enumeration Date02/11/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 431 $7K
2019 823 $10K
2020 697 $10K
2021 921 $13K
2022 1,167 $19K
2023 1,152 $18K
2024 733 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,267 1,850 $81K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 231 193 $7K
90460 Immunization administration through 18 years of age via any route, first or only component 49 39 $957.59
90686 49 39 $184.77
36415 Collection of venous blood by venipuncture 237 191 $145.96
G9903 Patient screened for tobacco use and identified as a tobacco non-user 1,214 996 $0.00
1036F 1,238 1,017 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 275 230 $0.00
G8482 Influenza immunization administered or previously received 364 310 $0.00