Medicaid Provider Spending

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

DFW FAMILY CLINIC

NPI: 1811228851 · GRAND PRAIRIE, TX 75051 · Family Medicine Physician · NPI assigned 01/14/2010

$73K
Total Medicaid Paid
2,507
Total Claims
2,098
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSIDDIQI, ADILA (OWNER)
NPI Enumeration Date01/14/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 200 $4K
2019 62 $2K
2021 376 $7K
2022 870 $24K
2023 806 $28K
2024 193 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,415 1,135 $52K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 550 479 $18K
90674 51 49 $712.28
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 18 15 $694.16
36410 67 59 $522.27
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 25 24 $434.48
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 49 47 $314.82
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 62 54 $212.85
93000 29 26 $163.34
99423 23 12 $57.06
99072 71 63 $9.00
36416 147 135 $0.00