Medicaid Provider Spending

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

GADZOOM HEALTH LLC

NPI: 1770187163 · LEHI, UT 84048 · Primary Care Nurse Practitioner · NPI assigned 11/25/2020

$1.11M
Total Medicaid Paid
37,713
Total Claims
21,326
Beneficiaries
14
Codes Billed
2021-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNEWBERRY, BRIAN (MANAGER)
NPI Enumeration Date11/25/2020

Related Entities

Other providers sharing the same authorized official: NEWBERRY, BRIAN

ProviderCityStateTotal Paid
THIRTY THREE OAKS, LLC VANCOUVER WA $13K
LAKEWOOD OAKS, LLC LAKEWOOD WA $784.38
NORTH LAKE 5-O, LLC SHORELINE WA $319.90

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 114 $2K
2022 3,134 $73K
2023 10,412 $276K
2024 24,053 $762K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99310 Prolong nursin fac eval 15m 13,864 5,988 $500K
99309 Subsequent nursing facility care, per day, low to moderate complexity 16,643 9,211 $463K
99306 Prolong nursin fac eval 15m 1,093 1,004 $53K
99497 2,373 2,064 $47K
99308 Subsequent nursing facility care, per day, straightforward 1,400 1,023 $25K
99358 Prolong nursin fac eval 15m 793 680 $21K
99484 149 149 $2K
99490 Ccm add 20min 372 372 $1K
G3002 Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) 553 497 $1K
99305 13 13 $1K
G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) 63 58 $385.36
99439 50 50 $367.58
99406 330 203 $103.99
99356 17 14 $0.00