Medicaid Provider Spending

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

SANTIAM MOBILE MEDICINE LLC

NPI: 1750899035 · STAYTON, OR 97383 · Nurse Practitioner · NPI assigned 01/20/2018

$34K
Total Medicaid Paid
6,810
Total Claims
5,800
Beneficiaries
20
Codes Billed
2020-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLULAY, CASEY (MEMBER)
NPI Enumeration Date01/20/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 112 $359.17
2021 1,546 $3K
2022 1,142 $5K
2023 1,369 $7K
2024 2,641 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,088 896 $10K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 856 699 $6K
96127 1,043 792 $5K
96160 1,204 1,073 $5K
99406 309 255 $2K
99215 Prolong outpt/office vis 90 86 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 15 14 $2K
99385 17 15 $2K
99173 664 637 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 138 125 $292.27
1036F 267 202 $0.00
3074F 113 105 $0.00
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 26 25 $0.00
3008F 330 294 $0.00
3079F 12 12 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 29 27 $0.00
1126F 59 49 $0.00
1160F 334 298 $0.00
3078F 115 108 $0.00
3725F 101 88 $0.00