Medicaid Provider Spending

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

WESTSIDE FAMILY CLINIC LLC

NPI: 1801587779 · RUSSELLVILLE, AR 72801 · Family Nurse Practitioner · NPI assigned 05/19/2023

$22K
Total Medicaid Paid
732
Total Claims
581
Beneficiaries
7
Codes Billed
2024-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBOSOLD, JEFFREY (CEO)
NPI Enumeration Date05/19/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 732 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 443 337 $21K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 30 14 $298.80
96127 104 97 $296.56
85025 Blood count; complete (CBC), automated, and automated differential WBC count 14 14 $100.64
36415 Collection of venous blood by venipuncture 82 69 $54.00
86328 15 14 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 44 36 $0.00