Medicaid Provider Spending

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

COSTCARE, PLLC

NPI: 1710171657 · MISSOULA, MT 59808 · Primary Care Clinic/Center · NPI assigned 09/04/2007

$240K
Total Medicaid Paid
2,443
Total Claims
2,326
Beneficiaries
8
Codes Billed
2020-06
First Month
2023-05
Last Month

Provider Details

Authorized OfficialVON ESCHEN, LESLEY (OWNER)
NPI Enumeration Date09/04/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 621 $48K
2021 1,092 $99K
2022 466 $57K
2023 264 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 584 569 $98K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 732 676 $98K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 237 227 $26K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 479 458 $10K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 65 60 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 242 234 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 59 57 $169.56
99000 45 45 $0.00