Medicaid Provider Spending

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

KELLY W HUBBARD MD PC

NPI: 1770779985 · LOGAN, UT 84341 · Clinical & Laboratory Dermatological Immunology Physician · NPI assigned 09/20/2007

$129K
Total Medicaid Paid
1,844
Total Claims
1,710
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKARTSONE, TRACEY (ACCOUNTS MANAGER)
NPI Enumeration Date09/20/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 239 $14K
2019 149 $9K
2020 294 $19K
2021 403 $31K
2022 192 $16K
2023 217 $16K
2024 350 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 734 681 $60K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 748 683 $44K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 213 211 $14K
17110 60 53 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 60 56 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 29 26 $3K