Medicaid Provider Spending

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

PRIMARY HEALTHCARE, PLLC

NPI: 1700503182 · MURRAY, UT 84107 · Sports Medicine (Family Medicine) Physician · NPI assigned 10/26/2022

$37K
Total Medicaid Paid
758
Total Claims
627
Beneficiaries
6
Codes Billed
2023-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMANGUM, KEVIN (CEO/PHYSICIAN)
NPI Enumeration Date10/26/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 17 $1K
2024 741 $36K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 504 405 $34K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 32 30 $2K
99215 Prolong outpt/office vis 16 13 $940.66
36415 Collection of venous blood by venipuncture 52 46 $88.10
96127 50 45 $52.43
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 104 88 $52.26