Medicaid Provider Spending

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

BETHANY CLINIC PC

NPI: 1811655863 · PATERSON, NJ 07503 · Primary Care Clinic/Center · NPI assigned 12/06/2021

$20K
Total Medicaid Paid
813
Total Claims
665
Beneficiaries
10
Codes Billed
2024-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialABUDAMOUS, SHATHA (OWNER)
NPI Enumeration Date12/06/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 813 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 346 285 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 120 94 $4K
99401 148 99 $2K
99385 17 17 $902.52
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16 16 $862.56
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 12 $529.95
90661 16 14 $379.24
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 24 20 $348.82
96127 94 93 $176.67
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 19 15 $68.28