HERITAGE FAMILY MEDICINE LLC
NPI: 1699004853
· WASILLA, AK 99654
· Family Medicine Physician
· NPI assigned 12/17/2009
$239K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
353 |
$37K |
| 2019 |
231 |
$24K |
| 2020 |
238 |
$25K |
| 2021 |
478 |
$38K |
| 2022 |
429 |
$40K |
| 2023 |
489 |
$49K |
| 2024 |
203 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,613 |
1,333 |
$180K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
702 |
592 |
$58K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
45 |
43 |
$865.33 |
| 90686 |
|
26 |
26 |
$0.01 |
| 91301 |
|
35 |
29 |
$0.00 |