Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NE › FREMONT › 23RD FAMILY MED LLC

23RD FAMILY MED LLC

NPI: 1740573989 · FREMONT, NE 68025 · 207Q00000X

$179K
Total Medicaid Paid
3,415
Total Claims
3,060
Beneficiaries
8
Codes Billed
2018-01
First Month
2019-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,731 $93K
2019 1,684 $86K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 1,916 1,660 $101K
99214 1,205 1,106 $73K
99215 Prolong outpt/office vis 37 37 $2K
90682 58 58 $914.96
90686 76 76 $808.34
90471 34 34 $738.24
83036 13 13 $71.94
G0008 Admin influenza virus vac 76 76 $22.50