Medicaid Provider Spending

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

ROYAL HAVEN MEDICAL

NPI: 1740895911 · MANSFIELD, TX 76063 · Primary Care Nurse Practitioner · NPI assigned 09/14/2020

$8K
Total Medicaid Paid
1,601
Total Claims
1,595
Beneficiaries
4
Codes Billed
2021-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialWAGONEKA, PAIDAMOYO (OWNER)
NPI Enumeration Date09/14/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 652 $601.30
2022 215 $3K
2023 559 $4K
2024 175 $549.08

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99350 Prolong home eval add 15m 838 832 $6K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 172 172 $720.38
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 562 562 $618.13
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 29 29 $0.00