Medicaid Provider Spending

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

MIRACLE HEALTHCARE LLC

NPI: 1780908228 · BOLIVAR, TN 38008 · Family Nurse Practitioner · NPI assigned 03/25/2010

$60K
Total Medicaid Paid
2,926
Total Claims
2,433
Beneficiaries
11
Codes Billed
2018-01
First Month
2019-12
Last Month

Provider Details

Authorized OfficialMESSENGER, LATOSHA (OWNER)
NPI Enumeration Date03/25/2010

Related Entities

Other providers sharing the same authorized official: MESSENGER, LATOSHA

ProviderCityStateTotal Paid
HATCHIE CLINIC P C BOLIVAR TN $27K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,700 $31K
2019 1,226 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,062 908 $29K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 676 581 $22K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 536 386 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 170 137 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 62 53 $1K
36415 Collection of venous blood by venipuncture 183 164 $229.04
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 21 17 $181.60
81002 149 131 $180.03
90686 21 17 $118.51
90756 14 13 $73.89
J0696 Injection, ceftriaxone sodium, per 250 mg 32 26 $52.12