Medicaid Provider Spending

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

MONTGOMERY MEDICAL, INC.

NPI: 1821336868 · SMITHFIELD, PA 15478 · Clinic/Center · NPI assigned 01/25/2013

$70K
Total Medicaid Paid
2,387
Total Claims
2,154
Beneficiaries
8
Codes Billed
2020-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGOISSE, MARCY (PRESIDENT)
NPI Enumeration Date01/25/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 96 $3K
2021 732 $23K
2022 592 $19K
2023 526 $13K
2024 441 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,335 1,243 $46K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 937 808 $24K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 15 13 $702.78
3074F 27 24 $20.00
3078F 13 12 $10.00
99499 26 25 $0.00
G0444 Annual depression screening, 5 to 15 minutes 16 14 $0.00
99080 18 15 $0.00