Medicaid Provider Spending

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

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NPI: 1801567029 · MERIDIAN, ID 83646 · Family Nurse Practitioner · NPI assigned 09/27/2021

$73K
Total Medicaid Paid
853
Total Claims
792
Beneficiaries
6
Codes Billed
2023-05
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMATTINGLY, CODY (OWNER)
NPI Enumeration Date09/27/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 243 $21K
2024 610 $52K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 543 506 $52K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 253 232 $15K
99205 Prolong outpt/office vis 15 15 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 12 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14 12 $1K
96127 15 15 $46.80