Medicaid Provider Spending

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

ACADIA FAMILY MEDICAL CLINIC L.L.C.

NPI: 1710311154 · PAWHUSKA, OK 74056 · Family Nurse Practitioner · NPI assigned 08/21/2013

$87K
Total Medicaid Paid
1,659
Total Claims
1,523
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-10
Last Month

Provider Details

Authorized OfficialFLOWERETTE, THERESA (OWNER/PROVIDER)
NPI Enumeration Date08/21/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,659 $87K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 910 826 $64K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 329 307 $15K
99407 197 183 $5K
99406 195 179 $2K
99215 Prolong outpt/office vis 12 12 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 16 16 $271.36