Medicaid Provider Spending

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

SUMMIT TOTAL CARE PLLC

NPI: 1700245271 · WALLED LAKE, MI 48390 · Family Medicine Physician · NPI assigned 02/12/2016

$3K
Total Medicaid Paid
75
Total Claims
61
Beneficiaries
2
Codes Billed
2018-01
First Month
2018-05
Last Month

Provider Details

Authorized OfficialHASSANE, SAHAR (MANAGER)
NPI Enumeration Date02/12/2016

Related Entities

Other providers sharing the same authorized official: HASSANE, SAHAR

ProviderCityStateTotal Paid
SUMMIT TOTAL CARE PLLC OAK PARK MI $543.62

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 75 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 59 47 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 16 14 $227.36