Medicaid Provider Spending

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

THE VICE PRACTICE LLC

NPI: 1790465698 · LAS VEGAS, NV 89121 · Family Nurse Practitioner · NPI assigned 07/24/2023

$20K
Total Medicaid Paid
319
Total Claims
244
Beneficiaries
4
Codes Billed
2024-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMIRELES, SUSIE (CREDENTIALING SPECIALIST)
NPI Enumeration Date07/24/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 319 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 166 116 $13K
99215 Prolong outpt/office vis 68 57 $4K
99205 Prolong outpt/office vis 32 28 $3K
96127 53 43 $144.07