Medicaid Provider Spending

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

HOMETOWN HEALTHCARE LLC

NPI: 1720733249 · PRESCOTT VALLEY, AZ 86314 · Family Nurse Practitioner · NPI assigned 02/14/2022

$250K
Total Medicaid Paid
3,764
Total Claims
3,368
Beneficiaries
10
Codes Billed
2022-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGRINGO, CASSEI (OWNER)
NPI Enumeration Date02/14/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 94 $7K
2023 1,558 $101K
2024 2,112 $141K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,293 1,945 $156K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 630 623 $58K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 571 536 $29K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 45 45 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 15 15 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 94 94 $1K
36415 Collection of venous blood by venipuncture 65 60 $292.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $128.10
81002 17 16 $35.11
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 22 22 $0.00