Medicaid Provider Spending

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

SAMSON-FANG, LISA

NPI: 1821188442 · SALT LAKE CITY, UT 84132 · Developmental - Behavioral Pediatrics Physician · NPI assigned 10/13/2006

$26K
Total Medicaid Paid
498
Total Claims
484
Beneficiaries
4
Codes Billed
2018-01
First Month
2020-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 96 $5K
2019 156 $9K
2020 246 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 234 224 $16K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 137 134 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28 28 $2K
90686 99 98 $141.21