Medicaid Provider Spending

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

SIMPLY 4 KIDZ HEALTHCARE, LLC

NPI: 1699220731 · HAGERSTOWN, MD 21740 · Pediatric Nurse Practitioner · NPI assigned 08/18/2016

$25K
Total Medicaid Paid
497
Total Claims
396
Beneficiaries
6
Codes Billed
2020-01
First Month
2022-06
Last Month

Provider Details

Authorized OfficialLUM, TERESA (OWNER)
NPI Enumeration Date08/18/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 136 $2K
2021 171 $12K
2022 190 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 354 257 $22K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14 12 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12 12 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 73 71 $743.80
96127 12 12 $56.52
99173 32 32 $54.65