Medicaid Provider Spending

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

DIMMIT REGIONAL HOSPITAL

NPI: 1750901070 · CRYSTAL CITY, TX 78839 · Internal Medicine Physician · NPI assigned 04/17/2020

$20K
Total Medicaid Paid
752
Total Claims
560
Beneficiaries
4
Codes Billed
2022-05
First Month
2023-01
Last Month

Provider Details

Authorized OfficialMELENDEZ, ALMA (OFFICE MANAGER)
NPI Enumeration Date04/17/2020

Related Entities

Other providers sharing the same authorized official: MELENDEZ, ALMA

ProviderCityStateTotal Paid
DIMMIT REGIONAL HOSPITAL CARRIZO SPRINGS TX $108K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 663 $17K
2023 89 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 472 332 $12K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 244 192 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $591.48
90686 24 24 $262.80