Medicaid Provider Spending

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

PRAIRIE CLINIC LLC

NPI: 1740992676 · SPRINGFIELD, CO 81073 · Primary Care Clinic/Center · NPI assigned 12/22/2022

$12K
Total Medicaid Paid
225
Total Claims
188
Beneficiaries
5
Codes Billed
2024-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRAU, TENNILLE (LLC MEMBER/MEDICAL PROVIDER)
NPI Enumeration Date12/22/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 225 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 96 85 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36 33 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 33 18 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 12 $1K
36415 Collection of venous blood by venipuncture 47 40 $72.70