Medicaid Provider Spending

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

MEDELLA FAMILY CLINIC LLC

NPI: 1790493401 · LAS VEGAS, NV 89121 · Clinic/Center · NPI assigned 11/10/2022

$1.33M
Total Medicaid Paid
41,903
Total Claims
5,337
Beneficiaries
19
Codes Billed
2022-12
First Month
2023-07
Last Month

Provider Details

Authorized OfficialRASAVONG, ALEXANDER (ADMINISTRATOR)
NPI Enumeration Date11/10/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 2,227 $61K
2023 39,676 $1.27M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 9,029 1,082 $496K
97032 9,032 1,082 $286K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 9,018 1,081 $166K
97016 9,024 1,081 $144K
98960 2,603 312 $124K
Q3014 Telehealth originating site facility fee 2,620 328 $60K
90837 Psychotherapy, 53 minutes with patient 186 84 $20K
H0004 Behavioral health counseling and therapy, per 15 minutes 154 61 $18K
H0031 Mental health assessment, by non-physician 45 45 $8K
95816 12 12 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 35 34 $3K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 49 47 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24 16 $1K
92652 12 12 $880.00
96137 12 12 $415.91
96132 12 12 $350.00
96136 12 12 $285.81
95957 12 12 $0.00
95930 12 12 $0.00