Medicaid Provider Spending

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

CROMWELL MEDICAL CLINIC PLLC

NPI: 1821250549 · CROMWELL, MN 55726 · Primary Care Clinic/Center · NPI assigned 06/25/2008

$64K
Total Medicaid Paid
1,380
Total Claims
1,273
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialBODE, SHAWN (SOLE MEMBER)
NPI Enumeration Date06/25/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 102 $2K
2019 178 $9K
2020 142 $7K
2021 192 $10K
2022 276 $11K
2023 384 $18K
2024 106 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 968 880 $49K
91320 45 39 $4K
90662 59 59 $4K
0124A 50 50 $2K
G0008 Administration of influenza virus vaccine 60 60 $1K
90480 32 32 $1K
99348 16 12 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13 12 $940.03
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 37 31 $817.74
36415 Collection of venous blood by venipuncture 43 41 $245.17
90688 14 14 $81.70
91312 43 43 $0.05