Medicaid Provider Spending

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

MAIN MEDICAL CLINIC LLC

NPI: 1710758966 · TISHOMINGO, OK 73460 · Family Nurse Practitioner · NPI assigned 01/15/2024

$9K
Total Medicaid Paid
149
Total Claims
135
Beneficiaries
2
Codes Billed
2024-03
First Month
2024-09
Last Month

Provider Details

Authorized OfficialMARSHALL, SHARON (OWNER)
NPI Enumeration Date01/15/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 149 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 75 75 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 74 60 $3K